| NPI | 1457863649 |
|---|---|
| Other Name | HAIDER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | R. JEREMY HAIDER President 503-363-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8985) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |