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 |