Azita Shahgaldi, Dmd LLC

NPI #1588268346 in Portland, Oregon

Provider Information

NPI Number: 1588268346
Entity Type: Organization
Organization Name: Azita Shahgaldi, Dmd LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AZITA SHAHGALDI, DMD LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 9600 SW CAPITOL HWY STE 140
City: Portland
State: Oregon
ZIP Code: 97219-5275
Phone: (503) 246-7999

Authorized Official

Name: DR. AZITA SHAHGALDI, DMD
Title: DENTIST
Phone: (503) 246-7999

Specialties & Taxonomy Codes

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

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