| NPI | 1528457710 |
|---|---|
| Doing Business As | ST. HELENS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MOORE Managing Member 503-396-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |