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The Smile Store, LLC

NPI #1629578539 in Seaside, Oregon

Provider Information

NPI Number
1629578539
Entity Type
Organization
Organization Name
The Smile Store, LLC
Primary Specialty
Denturist
Enumeration Date
Feb 16, 2018
Last Updated
Jul 9, 2019

Practice Location

Address
740 AVENUE H STE 2
City
Seaside
State
Oregon
ZIP Code
97138-6619
Phone
(503) 738-1860

Authorized Official

Name
KEITH RONALD CUNNING
Title
PRESIDENT
Phone
(833) 900-1050

Specialties & Taxonomy Codes

Specialty
Denturist

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