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Organization

LAKE OSWEGO SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLIN L SMITH DMD (PRESIDENT)
(503) 635-3653
Entity
Organization

Contact information

Practice address
16699 BOONES FERRY RD, STE 200, LAKE OSWEGO, OR 97035-4368
(503) 635-3653
(503) 635-3654
Mailing address
16699 BOONES FERRY RD, STE 200, LAKE OSWEGO, OR 97035-4368
(503) 635-3653
(503) 635-3654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/08/2008
Last updated
05/16/2008
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