Organization
5 STAR SMILES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUSTAPHA SY DDS (OWNER/DENTIST)
(203) 500-1276
Entity
Organization
Contact information
Practice address
16755 SW BASELINE RD STE 106, BEAVERTON, OR 97006-4284
(203) 645-4016
Mailing address
9559 SW ANNA BELLE CT, TIGARD, OR 97223-3349
(203) 500-1276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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