| NPI | 1790415537 |
|---|---|
| Doing Business As | FUSION DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | PANAGIOTA STATHOPOULOU Owner 503-653-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |