Mehran Enayati D.D.S.

NPI 1083749907 - Dentist - 1223P0700X

NPI Details
NPI 1083749907
Gender Male
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15280 NW CENTRAL DR
SUITE 201
PORTLAND OR, 97229-7805, US
Phone (503) 533-8240
Fax (503) 533-8320
Business Location
15280 NW CENTRAL DR
SUITE 201
PORTLAND OR, 97229-7805, US
Phone (503) 533-8240
Fax (503) 533-8320
Toxanomy
Taxonomy Code 1223P0700X
License State Oregon
License Number D7039
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According to our database, Dr. Mehran Enayati D.D.S. NPI is 1083749907, taxonomy code is 1223P0700X and license number is D7039, license state is located at Oregon. Mehran Enayati D.D.S. physically located at 15280 Nw Central Dr, Portland OR, 97229-7805. NPI Number Mehran Enayati D.D.S. has the Individual type.

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1083749907 NPI number is provided on an as is basis without warranty of any kind. 1083749907 is maintained by the National Plan & Provider Enumeration System. The contents of Mehran Enayati D.D.S. are for informational purposes only.