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Organization
JADE DENTAL LLC
Active
Organization
JADE DENTAL LLC
Active
Other names
Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CHING HSIANG CHUANG DDS (OWNER)
(510) 501-4317
Entity
Organization
Contact information
Practice address
12450 SW PIONEER LN, BEAVERTON, OR 97008-8377
(510) 501-4317
Mailing address
3570 SW RIVER PKWY UNIT 1611, PORTLAND, OR 97239-4544
(510) 501-4317
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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