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1063065068
PORTLAND DENTAL SMILES
PORTLAND, OR
NPI
1063065068
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Entity Type
Organization
Authorized Contact
CAMILLE DEWOLF
Office Manager
503-542-2580
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-07-18
Last Update Date
2022-02-21
Business Address
PORTLAND DENTAL SMILES
511 SW 10TH AVE STE 1114
PORTLAND, OR 97205-2712
Phone number: 503-542-2580
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Mailing Address
PORTLAND DENTAL SMILES
511 SW 10TH AVE STE 1114
PORTLAND, OR 97205-2712
Phone number: 503-542-2580
Copy
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