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 |