| NPI | 1407418999 |
|---|---|
| Doing Business As | MULTNOMAH COUNTY DETENTION DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK D LEWIS Finance Manager 503-988-7462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |