Maryam M. Motlagh Dmd PC

NPI #1811154271 in Portland, Oregon

Provider Information

NPI Number: 1811154271
Entity Type: Organization
Organization Name: Maryam M. Motlagh Dmd PC
Subpart: Yes (part of a larger organization)
Parent Organization: MARYAM M. MOTLAGH, DMD PC
Primary Specialty: Dentist
Enumeration Date: May 21, 2008
Last Updated: May 21, 2008

Practice Location

Address: 13765 NW CORNELL RD
Address 2: SUITE 100
City: Portland
State: Oregon
ZIP Code: 97229-5300
Phone: (503) 643-9855

Authorized Official

Name: MARYAM M MOTLAGH, DMD PC
Title: PRESIDENT
Phone: (503) 643-9855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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