| NPI | 1518296193 |
|---|---|
| Other Name | OAK PARK FAMILY DENTAL CARE-HIGH ST |
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN KETCHUM Office Manager 503-588-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7020) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |