| NPI | 1518090323 |
|---|---|
| Doing Business As | TEAMSTERS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FARID BOLOURI Dental Director Dentist 503-257-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-07-21 |