| NPI | 1689292781 |
|---|---|
| Doing Business As | PACIFIC NW DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN M BRADLEY Owner 971-998-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |