Portland Dental Smiles

NPI #1063065068 in Portland, Oregon

Provider Information

NPI Number: 1063065068
Entity Type: Organization
Organization Name: Portland Dental Smiles
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 18, 2019
Last Updated: Feb 21, 2022

Practice Location

Address: 511 SW 10TH AVE STE 1114
City: Portland
State: Oregon
ZIP Code: 97205-2712
Phone: (503) 542-2580

Authorized Official

Name: CAMILLE DEWOLF
Title: OFFICE MANAGER
Phone: (503) 542-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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