NPI | 1659889822 |
---|---|
Doing Business As | MT. HOOD FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | TIFFANY BROWN Dentist Owner 503-804-2275 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10243) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-01-22 |