| NPI | 1770399875 |
|---|---|
| Doing Business As | GREEN TREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JARED MICHAEL THOMPSON Member 503-351-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |