A. Farid Bolouri Dmd, PC

NPI #1558078600 in Milwaukie, Oregon

Provider Information

NPI Number: 1558078600
Entity Type: Organization
Organization Name: A. Farid Bolouri Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 28, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 11080 SE OAK ST
City: Milwaukie
State: Oregon
ZIP Code: 97222-6692
Phone: (503) 654-0613

Authorized Official

Name: IRMA STARR
Title: OFFICE MANAGER
Phone: (503) 654-0613

Specialties & Taxonomy Codes

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

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