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Individual

DR. JOSHUA M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19029 BEAVERCREEK RD, OREGON CITY, OR 97045-9537
(503) 941-3064
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3077
(503) 747-7013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022688
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500760368
OR
Enumeration date
06/14/2018
Last updated
04/20/2020
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