Smiles On Belmont Llc | |
3418 Se Belmont St Portland OR 97214-4247 | |
(503) 236-3706 | |
Not Available |
Full Name | Smiles On Belmont Llc |
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Speciality | Dentist |
Location | 3418 Se Belmont St, Portland, Oregon |
Authorized Official Name and Position | Cody Charron (OWNER) |
Authorized Official Contact | 5416196218 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles On Belmont Llc 1706 Avalon Dr Unit 20 Hood River OR 97031-9585 Ph: (541) 619-6218 | Smiles On Belmont Llc 3418 Se Belmont St Portland OR 97214-4247 Ph: (503) 236-3706 |
NPI Number | 1356815518 |
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Provider Enumeration Date | 01/21/2019 |
Last Update Date | 01/21/2019 |
Identifier | Type | State | Issuer |
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1356815518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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