NPI | 1841696937 |
---|---|
Doing Business As | SHERWOOD MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | TODD R COCKRELL Owner 503-625-2538 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-17 |