| Westside Periodontics & Implantology Llc | |
|
9934 Nw Skyline Heights Dr Portland OR 97229-2634 | |
| (503) 799-5383 | |
| Not Available |
| Full Name | Westside Periodontics & Implantology Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9934 Nw Skyline Heights Dr, Portland, Oregon |
| Authorized Official Name and Position | Vahid Thomas Eshraghi (PERIODONTIST) |
| Authorized Official Contact | 5037995383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Periodontics & Implantology Llc 9934 Nw Skyline Heights Dr Portland OR 97229-2634 Ph: (503) 799-5383 | Westside Periodontics & Implantology Llc 9934 Nw Skyline Heights Dr Portland OR 97229-2634 Ph: (503) 799-5383 |
| NPI Number | 1124390281 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124390281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8855 (Oregon) | Primary |
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