NPI 1891052122

Pefect Smiles Dental, LLC

Organisation Preferred Provider Organization Beaverton, OR

Practice location

Address: 17435 SW Farmington Rd STE D, Beaverton, OR 97007-3234
Phone: (503) 649-1700
Fax: (503) 649-1712

Authorised official

Name: Katherine Nguyen
Title: Dentist
Phone: (503) 649-1700

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D7480 (OR)

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Registry record

NPI: 1891052122
Entity type: Organization
NPI issued: 11 Apr 2012
Record last updated: 11 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.