NPI | 1730435876 |
---|---|
Doing Business As | PORTLAND DENTAL WORKS |
Entity Type | Organization |
Authorized Contact | MAZYAR AFSHAR Owner 503-644-3188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 9478) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |