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Organization
WORLD OF SMILES TEEN DENTISTRY LLC
Active
Organization
WORLD OF SMILES TEEN DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI TJOSTOLVSON (PATIENT FINANCIAL COORDINATOR)
(503) 626-9711
Entity
Organization
Contact information
Practice address
11790 SW BARNES RD STE 220, PORTLAND, OR 97225-5934
(503) 626-9700
(503) 626-9772
Mailing address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(503) 626-9711
(503) 894-8869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9074
OR
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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