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1811079890
SMILES NORTHWEST LLC
BEAVERTON, OR
NPI
1811079890
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Entity Type
Organization
Authorized Contact
ALAN MONTROSE
Owner
503-644-7763
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D5975)
Enumeration Date
2006-10-19
Last Update Date
2008-07-24
Business Address
SMILES NORTHWEST LLC
3800 SW CEDAR HILLS BLVD STE 180
BEAVERTON, OR 97005-2003
Phone number: 503-644-7763
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Mailing Address
SMILES NORTHWEST LLC
3800 SW CEDAR HILLS BLVD STE 180
BEAVERTON, OR 97005-2003
Phone number: 503-644-7763
Copy
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