| NPI | 1972878221 |
|---|---|
| Doing Business As | TANASBOURNE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL B LEE Dentist 503-533-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR d9251) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |