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1063729523
MASTANEH POURNADERI
PORTLAND, OR
NPI
1063729523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8516)
Additional Taxonomies
122300000X Dentist
(Licence: CA 42083)
Enumeration Date
2010-09-04
Last Update Date
2010-09-04
Business Address
DR. MASTANEH POURNADERI D.D.S
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3410
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Mailing Address
DR. MASTANEH POURNADERI D.D.S
14820 NW TRANQUILITY DR
BANKS, OR 97106-8835
Phone number: 503-324-0631
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