Smiles Dental Group, PC

NPI #1295149334 in Woodburn, Oregon

Provider Information

NPI Number: 1295149334
Entity Type: Organization
Organization Name: Smiles Dental Group, PC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jun 17, 2014
Last Updated: Jun 17, 2014

Practice Location

Address: 1018 N BOONES FERRY RD
City: Woodburn
State: Oregon
ZIP Code: 97071-9602
Phone: (503) 981-1841

Authorized Official

Name: MR. JACOB A LEWIS, CPA, MBA
Title: CFO
Phone: (206) 919-6578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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