Organization
SMITH DENTAL FOREST GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH DDS (DENTIST)
(503) 359-0900
Entity
Organization
Contact information
Practice address
1907 MOUNTAIN VIEW LN STE 100, FOREST GROVE, OR 97116-2274
(503) 359-0900
Mailing address
1907 MOUNTAIN VIEW LN STE 100, FOREST GROVE, OR 97116-2274
(503) 359-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9728
OR
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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