Organization
HAZIM DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIAD ANTONIOUS HAZIM D.D.S. (PRESIDENT)
(503) 761-1120
Entity
Organization
Contact information
Practice address
12661 SE POWELL BLVD, SUITE E, PORTLAND, OR 97236-3400
(503) 761-1120
(503) 774-2622
Mailing address
PO BOX 90813, PORTLAND, OR 97290-0813
(503) 761-1120
(503) 774-2622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7022
OR
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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