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1376889758
AZITA SHAHGALDI DMD LLC
PORTLAND, OR
NPI
1376889758
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Entity Type
Organization
Authorized Contact
AZITA SHAHGALDI
Dentist
503-246-7999
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: OR D9511)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
AZITA SHAHGALDI DMD LLC
9600 SW CAPITOL HWY 140
PORTLAND, OR 97219-5295
Phone number: 503-246-7999
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Mailing Address
AZITA SHAHGALDI DMD LLC
9600 SW CAPITOL HWY 140
PORTLAND, OR 97219-5295
Phone number: 503-246-7999
Copy
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