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1600 Sw Cedar Hills Blvd Suite 110 Portland OR 97229 | |
| (503) 292-2125 | |
| (503) 200-1935 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 Sw Cedar Hills Blvd, Portland, Oregon |
| Authorized Official Name and Position | Bita Zavari (DENTIST/OWNER) |
| Authorized Official Contact | 5032922125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Sw Cedar Hills Blvd Suite 110 Portland OR 97225-5439 Ph: (503) 292-2125 | 1600 Sw Cedar Hills Blvd Suite 110 Portland OR 97229 Ph: (503) 292-2125 |
| NPI Number | 1831529155 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831529155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7771 (Oregon) | Primary |
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