Organization
LITTLE SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA PATRICIA PELLEY D.M.D. (P.C., PEDIATRIC DENTIST)
(503) 235-0313
Entity
Organization
Contact information
Practice address
8708 SE 17TH AVE, PORTLAND, OR 97202-7331
(503) 235-0313
Mailing address
8708 SE 17TH AVE, PORTLAND, OR 97202-7331
(503) 235-0313
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8889
OR
Other
Enumeration date
05/17/2008
Last updated
09/27/2012
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