Organization
HADI NOUREDINE
Active
Other names
Today's Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KATI MARECEK (OFFICE MANAGER)
(503) 644-1110
Entity
Organization
Contact information
Practice address
570 SE BASELINE ST, HILLSBORO, OR 97123-4114
(503) 844-0777
(503) 648-9603
Mailing address
570 SE BASELINE ST, HILLSBORO, OR 97123-4114
(503) 844-0777
(503) 648-9603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8687
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028155
OFFICE OF MEDICAL ASS
OR
05
—
278353
—
OR
Enumeration date
09/26/2006
Last updated
03/07/2013
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