NPI | 1508088758 |
---|---|
Doing Business As | PARKSIDE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | REBECCA KUPERSTEIN President 503-236-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D8632) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |