Organization
ROOTS ORTHODONTICS LLC
Active
Other names
Bridgetown Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH DDS (MEMBER)
(716) 601-9468
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD, PORTLAND, OR 97223-5442
(503) 245-7670
Mailing address
9370 SW GREENBURG RD, PORTLAND, OR 97223-5442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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