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Organization
KING SMILE DENTISTRY LLC
Active
Organization
KING SMILE DENTISTRY LLC
Active
Other names
King Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PHU THI BUI DDS (PRESIDENT)
(503) 344-6334
Entity
Organization
Contact information
Practice address
10555 SE 82ND AVE, STE. 105, HAPPY VALLEY, OR 97086-2374
(503) 344-6334
Mailing address
10555 SE 82ND AVE, STE. 105, HAPPY VALLEY, OR 97086-2374
(503) 344-6334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7308
OR
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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