| NPI | 1851654537 |
|---|---|
| Doing Business As | TIGARD TRIANGLE SMILES |
| Entity Type | Organization |
| Authorized Contact | TODD R COCKRELL Dmd/Owner 503-620-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-12-31 |