Friendly Smiles Dental Group

NPI 1710136221 - Dentist - 122300000X

NPI Details
NPI 1710136221
Enumeration Date 09/09/2008
Last Updated 09/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRANDON S BRANDON
Position DENTIST/OWNER
Phone (503) 232-3102
Fax
Practice Location
2505 SE HAWTHORNE BLVD
SUITE B
PORTLAND OR, 97214-3970, US
Phone (503) 232-3102
Fax
Business Location
2505 SE HAWTHORNE BLVD
SUITE B
PORTLAND OR, 97214-3970, US
Phone (503) 232-3102
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number 8843
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According to our database, Friendly Smiles Dental Group NPI is 1710136221, taxonomy code is 122300000X and license number is 8843, license state is located at Oregon. Friendly Smiles Dental Group physically located at 2505 Se Hawthorne Blvd, Portland OR, 97214-3970. NPI Number 1033115704 has the healthcare provider type.

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1710136221 NPI number is provided on an as is basis without warranty of any kind. 1710136221 is maintained by the National Plan & Provider Enumeration System. The contents of Friendly Smiles Dental Group are for informational purposes only.