BRILLIANT SMILE DENTAL, P.C.

PORTLAND, OR
NPI1215209861
Entity TypeOrganization
Authorized ContactNICOLE NGA LUONG
President
503-708-8059
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7803)
Enumeration Date2012-01-28
Last Update Date2014-01-31
Business Address
BRILLIANT SMILE DENTAL, P.C.
12720 SE STARK ST
PORTLAND, OR 97233-1539
Phone number: 503-252-6133
Mailing Address
BRILLIANT SMILE DENTAL, P.C.
12720 SE STARK ST
PORTLAND, OR 97233-1539
Phone number: 503-708-8059
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