| NPI | 1295798452 |
|---|---|
| Doing Business As | PERIODONTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRADLEY S. MCALLISTER Owner 503-620-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D6900) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-06-30 |