NPI | 1679252514 |
---|---|
Doing Business As | BROOKSIDE DENTAL-GRESHAM |
Doing Business As | WHOLE HEALTH DENTISTRY |
Entity Type | Organization |
Authorized Contact | DEBBIE LOPEZ Regional Manager 503-914-8221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-07-17 |