| NPI | 1427297662 |
|---|---|
| Other Name | BLUE SKY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ABDELNOUR Office Manager 503-806-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2010-10-14 |