Organization
BETHANY DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN ENAYATI DDS (OWNER DENTIST)
(503) 533-8240
Entity
Organization
Contact information
Practice address
15280 NW CENTRAL DR, STE 201, PORTLAND, OR 97229-7805
(503) 533-8240
(503) 533-8320
Mailing address
15280 NW CENTRAL DR, STE 201, PORTLAND, OR 97229-7805
(503) 533-8240
(503) 533-8320
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D7039
OR
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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