| 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 |