NPI | 1225782261 |
---|---|
Doing Business As | WILLIS DENTAL |
Entity Type | Organization |
Authorized Contact | BROCK NELSON Owner 503-364-3004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-02-08 |