MR. Alireza Farid Bolouri, DMD

NPI #1699833772 in Milwaukie, Oregon

Provider Information

NPI Number: 1699833772
Entity Type: Individual
Name: MR. Alireza Farid Bolouri, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11103 SE MAIN ST
Address 2: SUITE B
City: Milwaukie
State: Oregon
ZIP Code: 97222
Phone: (503) 654-0613

Specialties & Taxonomy Codes

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

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