NPI | 1407210578 |
---|---|
Doing Business As | WESTLAKE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRADLEY E SIEVERT Owner/Dentist 503-636-4576 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR D7780) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |