| NPI | 1861204513 |
|---|---|
| Doing Business As | PORTLAND CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE COO 732-207-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |