Organization
RAFIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA RAFIA DDS (CEO)
(971) 219-8932
Entity
Organization
Contact information
Practice address
930 NW 14TH AVE, SUITE 220, PORTLAND, OR 97209-2730
(503) 889-8632
Mailing address
930 NW 14TH AVE, SUITE 220, PORTLAND, OR 97209-2730
(503) 889-8632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7472
OR
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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