NPI | 1235015280 |
---|---|
Doing Business As | SUNNYSIDE DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHAD J CASEBEER Partner Dentist 503-798-8851 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |