NPI | 1649654070 |
---|---|
Doing Business As | MATTSON HELLICKSON DENTAL |
Entity Type | Organization |
Authorized Contact | BENJAMIN HELLICKSON Dentist Owner 503-649-4211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10116) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |