| Prestige Family Dentistry | |
|
19665 Sw Tv Hwy Suite A-1 Aloha OR 97006-2352 | |
| (503) 649-3101 | |
| (503) 259-1330 |
| Full Name | Prestige Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19665 Sw Tv Hwy, Aloha, Oregon |
| Authorized Official Name and Position | Melika Kashkouli (OWNER) |
| Authorized Official Contact | 5036493101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Family Dentistry 19665 Sw Tv Hwy Suite A-1 Aloha OR 97006-2352 Ph: (503) 649-3101 | Prestige Family Dentistry 19665 Sw Tv Hwy Suite A-1 Aloha OR 97006-2352 Ph: (503) 649-3101 |
| NPI Number | 1245589571 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 08/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245589571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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