Beaverton Family Dentistry

NPI #1003138116 in Beaverton, Oregon

Provider Information

NPI Number
1003138116
Entity Type
Organization
Organization Name
Beaverton Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 17, 2010
Last Updated
Feb 17, 2010

Practice Location

Address
10950 SW BEAVERTON HILLSDALE HWY
State
Oregon
ZIP Code
97005-3003
Phone
(503) 641-1100

Authorized Official

Name
DR. TONY H MOGHIMIAN, DDS
Title
PRESIDENT
Phone
(503) 641-1100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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