Organization
HEALTHY SMILES DENTAL HYGIENE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA LEE MATTFELD RDH (OWNER /INDEPENDANT DENTAL HYGIENST)
(971) 231-4959
Entity
Organization
Contact information
Practice address
2262 N ALBINA AVE, SUITE 127, PORTLAND, OR 97227-1703
(971) 231-4959
Mailing address
2262 N ALBINA AVE, SUITE 127, PORTLAND, OR 97227-1703
(971) 231-4959
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
H4964
OR
Other
Enumeration date
11/28/2012
Last updated
12/09/2012
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