Organization
SMILES ON SANDY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M DABY DDS (PRESIDENT)
(503) 284-4723
Entity
Organization
Contact information
Practice address
6600 NE SANDY BLVD, PORTLAND, OR 97213-5250
(503) 284-4723
(503) 284-5827
Mailing address
6600 NE SANDY BLVD, PORTLAND, OR 97213-5250
(503) 284-4723
(503) 284-5827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8475
OR
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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