Wilsonville Smiles PC
NPI #1346516192 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1346516192
- Entity Type
- Organization
- Organization Name
- Wilsonville Smiles PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Dec 31, 2013
Practice Location
- Address
- 30040 SW BOONES FERRY ROAD
- Address 2
- SUITE 20
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070
- Phone
- (505) 682-4500
Authorized Official
- Name
- RICHARD I ASHTON II, DMD
- Title
- OWNER
- Phone
- (503) 682-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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