Organization
MARYAM M. MOTLAGH DMD PC
Active
Parent organization
MARYAM M. MOTLAGH, DMD PC
Other names
da Vinci Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYAM M. MOTLAGH, DMD PC
Authorized official
MARYAM M MOTLAGH DMD PC (PRESIDENT)
(503) 643-9855
Entity
Organization
Contact information
Practice address
13765 NW CORNELL RD, SUITE 100, PORTLAND, OR 97229-5300
(503) 643-9855
(503) 626-7154
Mailing address
13765 NW CORNELL RD, SUITE 100, PORTLAND, OR 97229-5300
(503) 643-9855
(503) 626-7154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7499
OR
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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