| NPI | 1649305806 |
|---|---|
| Doing Business As | HEALTHY SMILES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARY DEMASI President 503-281-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D8316) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D8242) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |