| NPI | 1568854040 |
|---|---|
| Former Legal Business Name | PAUL BROOKS NOLAND DMD |
| Entity Type | Organization |
| Authorized Contact | PAUL BROOKS NOLAND Dentist/Managing Member 503-789-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR 9092) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |