Organization
SMILES BY LORI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI DUNHAM RDH (OWNER)
(503) 489-7978
Entity
Organization
Contact information
Practice address
205 BERWICK RD, LAKE OSWEGO, OR 97034-2849
(503) 489-7978
Mailing address
PO BOX 262, LAKE OSWEGO, OR 97034-0031
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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