Individual
DR. MAHMOUD MAGHSOUDLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7095 SW GONZAGA ST, TIGARD, OR 97223-8309
(503) 952-2000
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7365
OR
Other
Enumeration date
08/29/2006
Last updated
07/13/2015
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