DR. Mastaneh Pournaderi, D.D.S

NPI #1063729523 in Portland, Oregon

Provider Information

NPI Number
1063729523
Entity Type
Individual
Name
DR. Mastaneh Pournaderi, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S
Enumeration Date
Sep 4, 2010
Last Updated
Sep 4, 2010

Practice Location

Address
12710 SE DIVISION ST
State
Oregon
ZIP Code
97236-3134
Phone
(503) 988-3410

Specialties & Taxonomy Codes

Specialty
Dentist

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