Kiran Mistry, Dds, PC

NPI #1952886566 in Portland, Oregon

Provider Information

NPI Number: 1952886566
Entity Type: Organization
Organization Name: Kiran Mistry, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 28, 2018
Last Updated: Sep 28, 2018

Practice Location

Address: 4414 NE FREMONT ST
City: Portland
State: Oregon
ZIP Code: 97213-1154
Phone: (503) 288-7481

Authorized Official

Name: DR. KIRAN MISTRY, DDS
Title: PRESIDENT
Phone: (714) 496-0682

Specialties & Taxonomy Codes

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

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