| NPI | 1396014338 |
|---|---|
| Doing Business As | PACIFIC OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JARED MICHAEL THOMPSON Managing Member 503-357-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8734) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |