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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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