| NPI | 1861918005 |
|---|---|
| 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 | 124Q00000X Dental Hygienist |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-06-01 |