| 5 Star Smiles Dentistry | |
|
16755 Sw Baseline Rd Ste 106 Beaverton OR 97006-4284 | |
| (203) 645-4016 | |
| Not Available |
| Full Name | 5 Star Smiles Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 16755 Sw Baseline Rd Ste 106, Beaverton, Oregon |
| Authorized Official Name and Position | Moustapha Sy (OWNER/DENTIST) |
| Authorized Official Contact | 2035001276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Smiles Dentistry 9559 Sw Anna Belle Ct Tigard OR 97223-3349 Ph: (203) 500-1276 | 5 Star Smiles Dentistry 16755 Sw Baseline Rd Ste 106 Beaverton OR 97006-4284 Ph: (203) 645-4016 |
| NPI Number | 1003574336 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003574336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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