| NPI | 1457554016 |
|---|---|
| Doing Business As | WILLAMETTE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RUSSELL L. HOUSE General Counsel 503-952-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |