World of Smiles Teen Dentistry LLC

NPI #1376068478 in Portland, Oregon

Provider Information

NPI Number: 1376068478
Entity Type: Organization
Organization Name: World of Smiles Teen Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Aug 9, 2017
Last Updated: Aug 9, 2017

Practice Location

Address: 11790 SW BARNES RD STE 220
City: Portland
State: Oregon
ZIP Code: 97225-5934
Phone: (503) 626-9700

Authorized Official

Name: WENDI TJOSTOLVSON
Title: PATIENT FINANCIAL COORDINATOR
Phone: (503) 626-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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