| NPI | 1801189386 |
|---|---|
| Doing Business As | BEAVERTON DENTAL WORKS |
| Entity Type | Organization |
| Authorized Contact | AMELIA SCHMECHEL Practice Manager 503-644-3188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2012-07-17 |