| NPI | 1871197624 |
|---|---|
| Doing Business As | DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NOELLE M KLEMANN Owner 503-701-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-03-19 |