Organization
FREDERICK C. SMITH DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK C SMITH D.M.D. (OWNER)
(503) 325-6655
Entity
Organization
Contact information
Practice address
515 15TH ST, SUITE 2, ASTORIA, OR 97103-3851
(503) 325-6655
(503) 325-6611
Mailing address
515 15TH ST, SUITE 2, ASTORIA, OR 97103-3851
(503) 325-6655
(503) 325-6611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4874
OR
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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