Smiles On Belmont LLC

NPI #1356815518 in Portland, Oregon

Provider Information

NPI Number: 1356815518
Entity Type: Organization
Organization Name: Smiles On Belmont LLC
Primary Specialty: Dentist
Enumeration Date: Jan 21, 2019
Last Updated: Jan 21, 2019

Practice Location

Address: 3418 SE BELMONT ST
City: Portland
State: Oregon
ZIP Code: 97214-4247
Phone: (503) 236-3706

Authorized Official

Name: DR. CODY CHARRON, DMD
Title: OWNER
Phone: (541) 619-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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