| NPI | 1598110314 |
|---|---|
| Doing Business As | PDX DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE CEO 503-803-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |