NPI | 1568977817 |
---|---|
Former Legal Business Name | NE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | RYAN SMITH Manager 503-234-7870 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D10629) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2017-12-08 |