Friendly Smiles Dental Group

NPI #1710136221 in Portland, Oregon

Provider Information

NPI Number: 1710136221
Entity Type: Organization
Organization Name: Friendly Smiles Dental Group
Primary Specialty: Dentist
Enumeration Date: Sep 9, 2008
Last Updated: Sep 9, 2008

Practice Location

Address: 2505 SE HAWTHORNE BLVD
Address 2: SUITE B
City: Portland
State: Oregon
ZIP Code: 97214-3970
Phone: (503) 232-3102

Authorized Official

Name: DR. BRANDON S LEE, DMD
Title: DENTIST/OWNER
Phone: (503) 232-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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