NPI | 1487784419 |
---|---|
Doing Business As | BULL MT. DENTAL IMAGES |
Entity Type | Organization |
Authorized Contact | ROD C JOHNSON Owner 503-968-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7075) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-08-22 |