# BETHANY DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952516551
- **Authorized official:** DR. MEHRAN ENAYATI DDS (OWNER DENTIST)
- **Authorized official phone:** (503) 533-8240

## Contact information

- **Practice address:** 15280 NW CENTRAL DR, STE 201, PORTLAND, OR 97229-7805
- **Practice address phone:** (503) 533-8240
- **Practice address fax:** (503) 533-8320
- **Mailing address:** 15280 NW CENTRAL DR, STE 201, PORTLAND, OR 97229-7805
- **Mailing address phone:** (503) 533-8240
- **Mailing address fax:** (503) 533-8320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | D7039 | OR | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/22/2020