| NPI | 1972666956 |
|---|---|
| Doing Business As | PORTLAND PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID A GOLDWYN Periodontist 503-245-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR D8010) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |