Individual
DR. JAMES ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
360 NW BURNSIDE ROAD, GRESHAM, OR 97030-3852
(503) 667-7480
Mailing address
8773 NW MARSHALL STREET, PORTLAND, OR 97229-5317
(503) 841-5989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5802
OR
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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