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Organization
LITTLE SMILES PEDIATRIC DENTISTRY
Active
Organization
LITTLE SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA PATRICIA PELLEY D.M.D. (P.C., PEDIATRIC DENTIST)
(503) 235-0313
Entity
Organization
Contact information
Practice address
8708 SE 17TH AVE, PORTLAND, OR 97202-7331
(503) 235-0313
Mailing address
8708 SE 17TH AVE, PORTLAND, OR 97202-7331
(503) 235-0313
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8889
OR
Other
Enumeration date
05/17/2008
Last updated
09/27/2012
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