| NPI | 1649293663 |
|---|---|
| Doing Business As | LAKE OSWEGO DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CARRIE PARSON Office Manager 503-635-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6685) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |