Organization
DENTISTRY BY DESIGN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOZE GHOMGHALEH (OWNER)
(503) 626-7323
Entity
Organization
Contact information
Practice address
11380 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3018
(503) 626-7323
Mailing address
PO BOX 1420, BEAVERTON, OR 97075-1420
(503) 626-7323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7365
OR
1223G0001X
General Practice Dentistry
Primary
D7585
OR
Other
Enumeration date
10/21/2008
Last updated
11/04/2008
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