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Organization

PORTLAND DENTAL WORKS, LLC

Active
Parent organization
PORTLAND DENTAL WORKS, LLC
Other names
Portland Dental Works
Organization subpart
Yes

Provider details

NPI number
Legal business name
PORTLAND DENTAL WORKS, LLC
Authorized official
MAZYAR AFSHAR DMD (OWNER)
(503) 644-3188
Entity
Organization

Contact information

Practice address
700 NE MULTNOMAH ST, SUITE 845, PORTLAND, OR 97232-2131
(503) 234-0000
(503) 235-3369
Mailing address
700 NE MULTNOMAH ST, SUITE 845, PORTLAND, OR 97232-2131
(503) 234-0000
(503) 235-3369

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9478
OR

Other

Enumeration date
07/26/2012
Last updated
07/26/2012
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