Impact Sleep Dentistry

NPI #1215683503 in Beaverton, Oregon

Provider Information

NPI Number
1215683503
Entity Type
Organization
Organization Name
Impact Sleep Dentistry
Primary Specialty
Dentist
Enumeration Date
Feb 24, 2022
Last Updated
Apr 29, 2022

Practice Location

Address
3415 SW 187TH AVE
State
Oregon
ZIP Code
97003-3106
Phone
(503) 649-3101

Authorized Official

Name
MELIKA KASHKOULI, DMD
Title
OWNER
Phone
(503) 679-5072

Specialties & Taxonomy Codes

Specialty
Dentist

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