Hazim Dental Clinic Pc | |
12661 Se Powell Blvd Suite E Portland OR 97236-3400 | |
(503) 761-1120 | |
(503) 774-2622 |
Full Name | Hazim Dental Clinic Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 12661 Se Powell Blvd, Portland, Oregon |
Authorized Official Name and Position | Ziad Antonious Hazim (PRESIDENT) |
Authorized Official Contact | 5037611120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hazim Dental Clinic Pc Po Box 90813 Portland OR 97290-0813 Ph: (503) 761-1120 | Hazim Dental Clinic Pc 12661 Se Powell Blvd Suite E Portland OR 97236-3400 Ph: (503) 761-1120 |
NPI Number | 1609968007 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609968007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7022 (Oregon) | Primary |
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