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Individual

DR. COLIN L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
16699 BOONES FERRY RD, STE 200, LAKE OSWEGO, OR 97035-4368
(503) 635-3653
(503) 635-3654
Mailing address
16699 BOONES FERRY RD, STE 200, LAKE OSWEGO, OR 97035-4368
(503) 635-3653
(503) 635-3654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6778
OR

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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