NPI | 1730540949 |
---|---|
Doing Business As | SYLVAN IMPLANT & RECONSTRUCTIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | NADER M RASSOULI Owner 503-297-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OR D6832) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2016-03-15 |