Bella Smile Dental LLC

NPI #1881866788 in Portland, Oregon

Provider Information

NPI Number: 1881866788
Entity Type: Organization
Organization Name: Bella Smile Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

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

Authorized Official

Name: LYNETTE HALL
Title: OFFICE MANAGER
Phone: (503) 232-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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