| Impact Sleep Dentistry | |
|
3415 Sw 187th Ave Beaverton OR 97003-3106 | |
| (503) 649-3101 | |
| Not Available |
| Full Name | Impact Sleep Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3415 Sw 187th Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Melika Kashkouli (OWNER) |
| Authorized Official Contact | 5036795072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Sleep Dentistry 17455 Sw Hoodoo Ct Beaverton OR 97007-7702 Ph: (503) 679-5072 | Impact Sleep Dentistry 3415 Sw 187th Ave Beaverton OR 97003-3106 Ph: (503) 649-3101 |
| NPI Number | 1215683503 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215683503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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