| King Smile Dentistry Llc | |
|
10555 Se 82nd Ave Ste. 105 Happy Valley OR 97086-2374 | |
| (503) 344-6334 | |
| Not Available |
| Full Name | King Smile Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 10555 Se 82nd Ave, Happy Valley, Oregon |
| Authorized Official Name and Position | Phu Thi Bui (PRESIDENT) |
| Authorized Official Contact | 5033446334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Smile Dentistry Llc 10555 Se 82nd Ave Ste. 105 Happy Valley OR 97086-2374 Ph: (503) 344-6334 | King Smile Dentistry Llc 10555 Se 82nd Ave Ste. 105 Happy Valley OR 97086-2374 Ph: (503) 344-6334 |
| NPI Number | 1316311657 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316311657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7308 (Oregon) | Primary |
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