Master Dental Smiles INC

NPI #1003442518 in Portland, Oregon

Provider Information

NPI Number: 1003442518
Entity Type: Organization
Organization Name: Master Dental Smiles INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2020
Last Updated: Mar 16, 2020

Practice Location

Address: 12661 SE POWELL BLVD STE C
City: Portland
State: Oregon
ZIP Code: 97236-3400
Phone: (503) 761-1900

Authorized Official

Name: JAMES ROBERT EDWARDS
Title: DENTIST
Phone: (503) 761-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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