Hazim Dental Clinic PC

NPI #1609968007 in Portland, Oregon

Provider Information

NPI Number: 1609968007
Entity Type: Organization
Organization Name: Hazim Dental Clinic PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12661 SE POWELL BLVD
Address 2: SUITE E
City: Portland
State: Oregon
ZIP Code: 97236-3400
Phone: (503) 761-1120

Authorized Official

Name: DR. ZIAD ANTONIOUS HAZIM, D.D.S.
Title: PRESIDENT
Phone: (503) 761-1120

Specialties & Taxonomy Codes

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

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