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Organization

WORLD OF SMILES TEEN DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDI TJOSTOLVSON (PATIENT FINANCIAL COORDINATOR)
(503) 626-9711
Entity
Organization

Contact information

Practice address
11790 SW BARNES RD STE 220, PORTLAND, OR 97225-5934
(503) 626-9700
(503) 626-9772
Mailing address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(503) 626-9711
(503) 894-8869

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9074
OR

Other

Enumeration date
08/09/2017
Last updated
08/09/2017
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