Midland Dental LLC

NPI #1801396593 in Portland, Oregon

Provider Information

NPI Number: 1801396593
Entity Type: Organization
Organization Name: Midland Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 1244 SE 122ND AVE
City: Portland
State: Oregon
ZIP Code: 97233-1202
Phone: (503) 252-8338

Authorized Official

Name: DR. HADI NOUREDINE, DMD
Title: OWNER
Phone: (503) 252-8338

Specialties & Taxonomy Codes

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

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