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Organization

ADROIT DENTAL

Active
Other names
Adroit Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRILL ANATIL SMIRNOFF DMD (SECRETARY)
(503) 710-9839
Entity
Organization

Contact information

Practice address
5493 AMY ST, WEST LINN, OR 97068-3320
(503) 710-9839
(503) 710-9839
Mailing address
5493 AMY ST, WEST LINN, OR 97068-3320
(503) 710-9839
(503) 710-9839

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
56607
CA
261QD0000X
Dental Clinic/Center
Primary
D8965
OR
261QD0000X
Dental Clinic/Center
DE60102390
WA

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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