Organization
BELLA SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE HALL (OFFICE MANAGER)
(503) 232-3102
Entity
Organization
Contact information
Practice address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3970
(503) 232-3102
(503) 232-4021
Mailing address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3970
(503) 232-3102
(503) 232-4021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7195
OR
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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