| NPI | 1619235983 |
|---|---|
| Doing Business As | SUMMERCREST DENTAL |
| Entity Type | Organization |
| Authorized Contact | S. ALEXANDER MARRERO Dr/Owner 503-649-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D6089) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |