Individual
GRANT M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
831 LANCASTER DR NE, 2, SALEM, OR 97301-2676
(503) 362-8359
(503) 362-8351
Mailing address
5506 ROYAL OAKS DR, LAKE OSWEGO, OR 97035-4279
(503) 922-9762
(503) 362-8351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7116
OR
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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