Organization
PEFECT SMILES DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE NGUYEN D.M.D, FAGD (DENTIST)
(503) 649-1700
Entity
Organization
Contact information
Practice address
17435 SW FARMINGTON RD STE D, BEAVERTON, OR 97007-3234
(503) 649-1700
(503) 649-1712
Mailing address
17435 SW FARMINGTON RD STE D, BEAVERTON, OR 97007-3234
(503) 649-1700
(503) 649-1712
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D7480
OR
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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