Organization
A. FARID BOLOURI DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA STARR (OFFICE MANAGER)
(503) 654-0613
Entity
Organization
Contact information
Practice address
11080 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-0613
Mailing address
11080 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-0613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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