| NPI | 1760430912 |
|---|---|
| Doing Business As | BOONES FERRY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICK WILLIAM MORRISSEY Dentist 503-699-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D7762) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-10-29 |