Fariba Rostamian Mutschler, DDS

NPI #1043345598 in Portland, Oregon

Provider Information

NPI Number: 1043345598
Entity Type: Individual
Name: Fariba Rostamian Mutschler, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13908 SE STARK ST
Address 2: SUITE C
City: Portland
State: Oregon
ZIP Code: 97233-2161
Phone: (503) 254-5535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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