| NPI | 1245589571 |
|---|---|
| Doing Business As | PRESTIGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELIKA KASHKOULI Owner 503-649-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |