| NPI | 1316656564 |
|---|---|
| Doing Business As | FIVE PINES DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FEDLER Office Manager 503-482-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |