| Sylvan Implant & Reconstructive Dentistry | |
|
5440 Sw Westgate Dr Ste 360 Portland OR 97221-2446 | |
| (503) 297-4400 | |
| (503) 297-0684 |
| Full Name | Sylvan Implant & Reconstructive Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5440 Sw Westgate Dr Ste 360, Portland, Oregon |
| Authorized Official Name and Position | Nader M Rassouli (OWNER) |
| Authorized Official Contact | 5032974400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvan Implant & Reconstructive Dentistry 5440 Sw Westgate Dr Ste 360 Portland OR 97221-2446 Ph: (503) 297-4400 | Sylvan Implant & Reconstructive Dentistry 5440 Sw Westgate Dr Ste 360 Portland OR 97221-2446 Ph: (503) 297-4400 |
| NPI Number | 1730540949 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730540949 | NPI | - | NPPES |
| D6832 | Other | OR | DENTAL LICENSE |
| 1223P0700X | Other | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | D6832 (Oregon) | Primary |
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