Organization
SMITH DENTAL ALOHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH DDS (MEMBER)
(503) 575-1337
Entity
Organization
Contact information
Practice address
18635 SW FARMINGTON RD, ALOHA, OR 97007-5612
(503) 575-1337
Mailing address
620 SE OAK ST STE D, HILLSBORO, OR 97123-4160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9728
OR
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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