NPI | 1568629533 |
---|---|
Doing Business As | SIMONSEN DENTAL |
Entity Type | Organization |
Authorized Contact | DENNIS L. SIMONSEN Dentist 503-646-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8454) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2014-08-06 |