| Azita Shahgaldi Dmd Llc | |
|
9600 Sw Capitol Hwy 140 Portland OR 97219-5295 | |
| (503) 246-7999 | |
| (503) 546-2976 |
| Full Name | Azita Shahgaldi Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9600 Sw Capitol Hwy, Portland, Oregon |
| Authorized Official Name and Position | Azita Shahgaldi (DENTIST) |
| Authorized Official Contact | 5032467999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azita Shahgaldi Dmd Llc 9600 Sw Capitol Hwy 140 Portland OR 97219-5295 Ph: (503) 246-7999 | Azita Shahgaldi Dmd Llc 9600 Sw Capitol Hwy 140 Portland OR 97219-5295 Ph: (503) 246-7999 |
| NPI Number | 1376889758 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376889758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9511 (Oregon) | Primary |
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