Lake Oswego Modern Dentistry, PC
NPI #1538707294 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1538707294
- Entity Type
- Organization
- Organization Name
- Lake Oswego Modern Dentistry, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 12, 2019
- Last Updated
- May 11, 2022
Practice Location
- Address
- 4823 MEADOWS RD STE 131
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-2622
- Phone
- (503) 334-0351
Authorized Official
- Name
- DR. DARIOUSH AFSHAR, DMD
- Title
- OWNER DOCTOR
- Phone
- (503) 334-0351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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