| NPI | 1871310284 |
|---|---|
| Doing Business As | UPTOWN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS MOODY Dentist 503-223-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |