| NPI | 1629795364 |
|---|---|
| Doing Business As | LINDA VISTA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN KIM President 503-679-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |