NPI | 1639504715 |
---|---|
Doing Business As | TIMBER DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW RYAN KATHAN Dentist Owner 971-506-3407 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D9561) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2013-09-09 |