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 |