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1447877899
KELLY SMITH
PORTLAND, OR
NPI
1447877899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H5548)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
KELLY SMITH RDH
7700 SW GARDEN HOME RD APT 24
PORTLAND, OR 97223-7496
Phone number: 503-954-5321
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Mailing Address
KELLY SMITH RDH
2020 SE 182ND AVE
PORTLAND, OR 97233-5692
Phone number: 503-954-5321
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