Organization
SMILE DENTURES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROBERT ARNOLD BECKNER II LD (LICENSED DENTURIST)
(503) 440-6540
Entity
Organization
Contact information
Practice address
3925 ABBEY LANE, STE 7, ASTORIA, OR 97103-2235
(503) 836-7711
(951) 888-8668
Mailing address
3925 ABBEY LANE, STE 7, ASTORIA, OR 97103-2235
(503) 836-7711
(951) 888-6684
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10157767
OR
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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