| NPI | 1891450185 |
|---|---|
| Doing Business As | CLOUD NINE DENTAL AT RALEIGH PARK |
| Entity Type | Organization |
| Authorized Contact | CRISTINA WATERMAN Associate Dentist 503-292-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |