| NPI | 1912697624 |
|---|---|
| Doing Business As | OREGON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAGDALENA EVANS Senior Credentialing Specialist 720-272-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-06-23 |