| NPI | 1851880199 |
|---|---|
| Other Name | KAISER PERMANENTE 3 TO PHD DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY MARKO Dental Business Leader 503-813-4660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2021-06-01 |