| NPI | 1780234575 |
|---|---|
| Doing Business As | PRIME DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS CARDWELL President 503-913-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |