| NPI | 1285193003 |
|---|---|
| Doing Business As | HAZELNUT DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA KIM Owner 503-828-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |