| NPI | 1548954381 |
|---|---|
| Doing Business As | SUNNYSIDE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEANNA RUILOBA Office Manager 503-558-9828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |