| NPI | 1407244221 |
|---|---|
| Doing Business As | LONGVIEW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULIA GOURLEY Owner/Dentist 503-840-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE60299927) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |