| NPI | 1528546330 |
|---|---|
| Doing Business As | ADVANCED DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAVEL IVANOVICH SARANCHUK Manager/Authorized Signer 503-902-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10185) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |