| Smiles Northwest Llc | |
|
3800 Sw Cedar Hills Blvd Ste 180 Beaverton OR 97005-2003 | |
| (503) 644-7763 | |
| (503) 646-3995 |
| Full Name | Smiles Northwest Llc |
|---|---|
| Speciality | Dentist |
| Location | 3800 Sw Cedar Hills Blvd Ste 180, Beaverton, Oregon |
| Authorized Official Name and Position | Alan Montrose (OWNER) |
| Authorized Official Contact | 5036447763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Northwest Llc 3800 Sw Cedar Hills Blvd Ste 180 Beaverton OR 97005-2003 Ph: (503) 644-7763 | Smiles Northwest Llc 3800 Sw Cedar Hills Blvd Ste 180 Beaverton OR 97005-2003 Ph: (503) 644-7763 |
| NPI Number | 1811079890 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811079890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5975 (Oregon) | Primary |
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