| NPI | 1629039250 |
|---|---|
| Doing Business As | MOUNT ANGEL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAUNA LEE PIER President 503-845-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |