Individual
MARZIA MOHAMMADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTDA
Contact information
Practice address
20628 SW CELEBRITY LANE, BEAVERTON, OR 97007
(503) 591-8278
Mailing address
20628 SW CELEBRITYLN, BEAVERTON, OR 97007
(503) 591-8278
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
114698
OR
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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