Individual
KERRI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11525 SW DURHAM RD STE D1, TIGARD, OR 97224-3475
(503) 620-6133
Mailing address
11525 SW DURHAM RD STE D1, TIGARD, OR 97224-3475
(503) 620-6133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11369931-8903
UT
1223G0001X
General Practice Dentistry
Primary
D11500
OR
Other
Enumeration date
07/23/2019
Last updated
10/27/2023
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