| Smiles On 9th Llc | |
|
903 9th Ave Sw Albany OR 97321-2420 | |
| (541) 926-4039 | |
| Not Available |
| Full Name | Smiles On 9th Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 903 9th Ave Sw, Albany, Oregon |
| Authorized Official Name and Position | Geoffrey Berg (OWNER/DOCTOR) |
| Authorized Official Contact | 5419282301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On 9th Llc 2825 Willetta St Sw Albany OR 97321-3846 Ph: (541) 979-4811 | Smiles On 9th Llc 903 9th Ave Sw Albany OR 97321-2420 Ph: (541) 926-4039 |
| NPI Number | 1598247868 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598247868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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