| NPI | 1639486590 |
|---|---|
| Doing Business As | MOLALLA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TARA JOHNSON Business Manager 503-829-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6951) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |