Organization
BRIGHTSMILE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIAO LI D.D.S. (OWNER DENTIST)
(503) 561-2000
Entity
Organization
Contact information
Practice address
3460 LIBERTY RD S, SALEM, OR 97302-4607
(503) 561-2000
(503) 561-2200
Mailing address
3460 LIBERTY RD S, SALEM, OR 97302-4607
(503) 561-2000
(503) 561-2200
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D8587
OR
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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