| World Of Smiles Teen Dentistry Llc | |
|
11790 Sw Barnes Rd Ste 220 Portland OR 97225-5934 | |
| (503) 626-9700 | |
| (503) 626-9772 |
| Full Name | World Of Smiles Teen Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 11790 Sw Barnes Rd Ste 220, Portland, Oregon |
| Authorized Official Name and Position | Wendi Tjostolvson (PATIENT FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5036269711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| World Of Smiles Teen Dentistry Llc 4548 N Albina Ave Portland OR 97217-3010 Ph: (503) 626-9711 | World Of Smiles Teen Dentistry Llc 11790 Sw Barnes Rd Ste 220 Portland OR 97225-5934 Ph: (503) 626-9700 |
| NPI Number | 1376068478 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 08/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376068478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9074 (Oregon) | Primary |
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