| NPI | 1841380185 |
|---|---|
| Other Name | HOLLYWOOD DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN PHAM President 503-331-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6843) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |