Organization
MIDLAND DENTAL LLC
Active
Other names
Midland Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI NOUREDINE DMD (OWNER)
(503) 252-8338
Entity
Organization
Contact information
Practice address
1244 SE 122ND AVE, PORTLAND, OR 97233-1202
(503) 252-8338
Mailing address
1244 SE 122ND AVE, PORTLAND, OR 97233-1202
(503) 252-8338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OR
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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