| NPI | 1568113488 |
|---|---|
| Doing Business As | PACIFIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RAVY YOUNG Office Manager 503-286-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |