Individual
ZIYAD AMIR KADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 TATONE ST, BOARDMAN, OR 97818-7900
(541) 945-4008
Mailing address
300 TATONE ST, BOARDMAN, OR 97818-7900
(541) 945-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11341
OR
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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