NPI | 1780369934 |
---|---|
Doing Business As | TUALATIN VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | KERRI SMITH Owner, Dentist 503-620-6133 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-11-29 |