Organization
KING SMILE DENTISTRY LLC
Active
Other names
King Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PHU THI BUI DDS (PRESIDENT)
(503) 344-6334
Entity
Organization
Contact information
Practice address
10555 SE 82ND AVE, STE. 105, HAPPY VALLEY, OR 97086-2374
(503) 344-6334
Mailing address
10555 SE 82ND AVE, STE. 105, HAPPY VALLEY, OR 97086-2374
(503) 344-6334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7308
OR
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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