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Organization

HADI NOUREDINE DMD

Active
Other names
Family Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA KATI MARECEK (OFFICE MANAGER)
(503) 644-1110
Entity
Organization

Contact information

Practice address
8070 SW HALL BLVD, SUITE 200, BEAVERTON, OR 97008-6419
(503) 644-1110
(503) 641-6431
Mailing address
8070 SW HALL BLVD, SUITE 200, BEAVERTON, OR 97008-6419
(503) 644-1110
(503) 641-6431

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010640
OFFICE OF MEDICAL ASS
OR
05
278353
OR
01
768520
UNITED CONCORDIA
OR
Enumeration date
10/06/2006
Last updated
07/02/2012
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