King Smile Dentistry LLC

NPI #1316311657 in Happy Valley, Oregon

Provider Information

NPI Number
1316311657
Entity Type
Organization
Organization Name
King Smile Dentistry LLC
Primary Specialty
Dentist
Enumeration Date
Nov 24, 2015
Last Updated
Nov 24, 2015

Practice Location

Address
10555 SE 82ND AVE
Address 2
STE. 105
State
Oregon
ZIP Code
97086-2374
Phone
(503) 344-6334

Authorized Official

Name
PHU THI BUI, DDS
Title
PRESIDENT
Phone
(503) 344-6334

Specialties & Taxonomy Codes

Specialty
Dentist

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