| NPI | 1417568668 |
|---|---|
| Doing Business As | TILLAMOOK COUNTY HEALTH DEPARTMENT - DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARLENE L PUTMAN Administrator 503-842-3922 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-09-22 |