| NPI | 1659006500 |
|---|---|
| Doing Business As | HAVEN DENTAL PDX |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA M DAHM Owner/Dentist 937-477-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-10-25 |