Smiles On 9th LLC

NPI #1598247868 in Albany, Oregon

Provider Information

NPI Number: 1598247868
Entity Type: Organization
Organization Name: Smiles On 9th LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 903 9TH AVE SW
City: Albany
State: Oregon
ZIP Code: 97321-2420
Phone: (541) 926-4039

Authorized Official

Name: GEOFFREY BERG, DMD
Title: OWNER/DOCTOR
Phone: (541) 928-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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