| NPI | 1669960019 |
|---|---|
| Doing Business As | ACORN DENTISTRY FOR KIDS - CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARDSON Owner/Dentist 503-874-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9577) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |