| NPI | 1437499852 |
|---|---|
| Doing Business As | TUALATIN MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISTA MATTSON Owner 503-612-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2022-03-09 |