Organization
JONATHAN D SMART, DMD, PC
Active
Other names
Northwest Dental of Corvallis
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D. SMART DMD (PRESIDENT)
(541) 757-7708
Entity
Organization
Contact information
Practice address
2342 NW PROFESSIONAL DRIVE, CORVALLIS, OR 97330
(541) 757-7708
(541) 738-7192
Mailing address
2342 NW PROFESSIONAL DRIVE, CORVALLIS, OR 97330
(541) 757-7708
(541) 738-7192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8256
OR
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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