Portland Dental Works, LLC

NPI #1730435876 in Portland, Oregon

Provider Information

NPI Number: 1730435876
Entity Type: Organization
Organization Name: Portland Dental Works, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PORTLAND DENTAL WORKS, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 26, 2012
Last Updated: Jul 26, 2012

Practice Location

Address: 700 NE MULTNOMAH ST
Address 2: SUITE 845
City: Portland
State: Oregon
ZIP Code: 97232-2131
Phone: (503) 234-0000

Authorized Official

Name: MAZYAR AFSHAR, DMD
Title: OWNER
Phone: (503) 644-3188

Specialties & Taxonomy Codes

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

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