Merat Ostovar Dmd Llc | |
7546 Ne Shaleen St Hillsboro OR 97124-9430 | |
(503) 614-0198 | |
Not Available |
Full Name | Merat Ostovar Dmd Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 7546 Ne Shaleen St, Hillsboro, Oregon |
Authorized Official Name and Position | Merat B Ostovar (OWNER) |
Authorized Official Contact | 8302000085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Merat Ostovar Dmd Llc 7546 Ne Shaleen St Hillsboro OR 97124-9430 Ph: (503) 614-0198 | Merat Ostovar Dmd Llc 7546 Ne Shaleen St Hillsboro OR 97124-9430 Ph: (503) 614-0198 |
NPI Number | 1770138372 |
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Provider Enumeration Date | 08/09/2019 |
Last Update Date | 08/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770138372 | NPI | - | NPPES |
1437239795 | Medicaid | OR | |
1144606690 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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