| NPI | 1962825117 |
|---|---|
| Doing Business As | FARMINGTON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TIFFANI ANN LONG Dentist 503-842-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10033) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-12-19 |