| NPI | 1336578418 |
|---|---|
| Doing Business As | CLACKAMAS SQUARE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD ASHTON Owner 503-513-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |