Individual
DR. AHMADREZA ALIDOUSTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7206 NE CORNELL RD, HILLSBORO, OR 97124-5430
(503) 640-9999
Mailing address
7206 NE CORNELL RD, HILLSBORO, OR 97124-5430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12011
OR
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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