| NPI | 1447904826 |
|---|---|
| Doing Business As | MT. ANGEL DENTAL |
| Entity Type | Organization |
| Authorized Contact | GABRIELLE L WEISHOFF Managing Member 503-939-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |