| NPI | 1699421800 |
|---|---|
| Doing Business As | DENTAL WELLNESS OF PORTLAND |
| Entity Type | Organization |
| Authorized Contact | EUGENE KIM Dentist/Owner 207-274-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |