NPI | 1326745795 |
---|---|
Doing Business As | PERIODONTICS NORTHWEST |
Entity Type | Organization |
Authorized Contact | FADI SHAYA Periodontist 503-915-0277 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |