| NPI | 1316457666 |
|---|---|
| Doing Business As | OLIVER STATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | HIEU PHAM Dentist 971-971-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D10274) |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2017-09-30 |