Organization
MASTER DENTAL SMILES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT EDWARDS (DENTIST)
(503) 761-1900
Entity
Organization
Contact information
Practice address
12661 SE POWELL BLVD STE C, PORTLAND, OR 97236-3400
(503) 761-1900
Mailing address
12661 SE POWELL BLVD STE C, PORTLAND, OR 97236-3400
(503) 761-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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