Portland Dental Works, LLC

NPI #1932612777 in West Linn, Oregon

Provider Information

NPI Number: 1932612777
Entity Type: Organization
Organization Name: Portland Dental Works, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 15, 2017
Last Updated: Nov 15, 2017

Practice Location

Address: 1750 MCKILLICAN
City: West Linn
State: Oregon
ZIP Code: 97068
Phone: (503) 656-2525

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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