| Lake Oswego Modern Dentistry | |
|
4823 Meadows Rd Ste 131 Lake Oswego OR 97035-2622 | |
| (503) 334-0351 | |
| Not Available |
| Full Name | Lake Oswego Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4823 Meadows Rd Ste 131, Lake Oswego, Oregon |
| Authorized Official Name and Position | Darioush Afshar (OWNER DOCTOR) |
| Authorized Official Contact | 5033340351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Oswego Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Lake Oswego Modern Dentistry 4823 Meadows Rd Ste 131 Lake Oswego OR 97035-2622 Ph: (503) 334-0351 |
| NPI Number | 1538707294 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538707294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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