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Individual

DR. AZITA SHAHGALDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9600 SW CAPITOL HWY, STE 140, PORTLAND, OR 97219-5295
(503) 246-7999
Mailing address
9600 SW CAPITOL HWY, STE 140, PORTLAND, OR 97219-5295
(503) 246-7999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9511
OR

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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