Individual
DARIOUSH AFSHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4392 LIBERTY RD S, SALEM, OR 97302-6171
(971) 373-4583
Mailing address
1556 KAMELA DR S, SALEM, OR 97306-2249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10236
OR
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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