Organization
SMILE ARTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR PETROVICH LYASHENKO DDS (DENTIST)
(503) 348-5245
Entity
Organization
Contact information
Practice address
518 SE OAK ST STE 100, HILLSBORO, OR 97123-4897
(503) 640-9310
(503) 648-3794
Mailing address
12875 SW 22ND ST, BEAVERTON, OR 97008-5152
(503) 348-5245
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10146
OR
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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