| NPI | 1609006568 |
|---|---|
| Doing Business As | DCH PEDIATRIC DENTAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JACK W CLINTON Dean 503-494-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |