Individual
SAMIR KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12450 SW PIONEER LN STE B, BEAVERTON, OR 97008-8377
(503) 590-8883
(503) 590-0955
Mailing address
12450 SW PIONEER LN STE B, BEAVERTON, OR 97008-8377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7769
OR
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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