| NPI | 1487318416 |
|---|---|
| Doing Business As | CLOUD NINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL YESENOFSKI Associate Dentist 503-646-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-11-02 |