| Smith Dental Llc | |
|
620 Se Oak St Suite C Hillsboro OR 97123-4160 | |
| (503) 693-7301 | |
| (503) 648-1958 |
| Full Name | Smith Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 620 Se Oak St, Hillsboro, Oregon |
| Authorized Official Name and Position | Ryan Michael Smith (MANAGER) |
| Authorized Official Contact | 5036937301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Dental Llc 620 Se Oak St Suite C Hillsboro OR 97123-4160 Ph: (503) 693-7301 | Smith Dental Llc 620 Se Oak St Suite C Hillsboro OR 97123-4160 Ph: (503) 693-7301 |
| NPI Number | 1396083739 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396083739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6483 (Oregon) | Primary |
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