| NPI | 1770859241 |
|---|---|
| Doing Business As | SHERWOOD OLD TOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEBI M HUYSSOON Dentist 503-625-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |