Organization
AZITA SHAHGALDI, DMD LLC
Active
Parent organization
AZITA SHAHGALDI, DMD LLC
Other names
Serene Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZITA SHAHGALDI, DMD LLC
Authorized official
DR. AZITA SHAHGALDI DMD (DENTIST)
(503) 246-7999
Entity
Organization
Contact information
Practice address
9600 SW CAPITOL HWY STE 140, PORTLAND, OR 97219-5275
(503) 246-7999
(503) 546-2976
Mailing address
9600 SW CAPITOL HWY STE 140, PORTLAND, OR 97219-5275
(503) 246-7999
(503) 546-2976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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