NPI | 1457749632 |
---|---|
Doing Business As | RADIANT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | VAN AI HAN Dentist 503-866-6242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8959) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-23 |