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Organization

SAM EL-EBRASHI, BDS, MS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMEH K EL-EBRASHI BDS, MS (OWNER)
(503) 226-6659
Entity
Organization

Contact information

Practice address
2075 SW FIRST AVE, STE. 2M, PORTLAND, OR 97201-5314
(503) 226-6659
(503) 226-9523
Mailing address
2075 SW FIRST AVE, STE. 2M, PORTLAND, OR 97201-5314
(503) 226-6659
(503) 226-9523

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4764
OR
1223P0700X
Prosthodontics
Primary
D8650
OR

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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