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 |