Individual
ELIZABETH ANH SMITH TAKAMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-6506
Mailing address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-6506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60690
CA
122300000X
Dentist
Primary
D10165
OR
122300000X
Dentist
DE60402594
WA
Other
Enumeration date
02/27/2012
Last updated
09/30/2016
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