Organization
FARZAD PIRAYESH, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZAD PIRAYESH DMD (PRESIDENT)
(503) 679-7424
Entity
Organization
Contact information
Practice address
7836 NE SANDY BLVD, PORTLAND, OR 97213-6467
(503) 288-3107
Mailing address
PO BOX 708, LA CENTER, WA 98629-0708
(503) 679-7424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6969
OR
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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