| NPI | 1710657630 |
|---|---|
| Doing Business As | LOMBARD SMILES |
| Entity Type | Organization |
| Authorized Contact | EVAN CAMPBELL President 503-283-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |