| NPI | 1962638205 |
|---|---|
| Doing Business As | GREEN APPLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE HT KANG Dentist 503-224-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D8506) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D9083) |
| 122300000X Dentist (Licence: OR D9163) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |