Rafia Dental

NPI 1134521834 - Dentist - 1223G0001X

NPI Details
NPI 1134521834
Enumeration Date 09/24/2014
Last Updated 09/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KASRA KASRA
Position CEO
Phone (503) 889-8632
Fax
Practice Location
930 NW 14TH AVE
SUITE 220
PORTLAND OR, 97209-2730, US
Phone (503) 889-8632
Fax
Business Location
930 NW 14TH AVE
SUITE 220
PORTLAND OR, 97209-2730, US
Phone (503) 889-8632
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7472
Remove 1134521834 NPI Number
 

According to our database, Rafia Dental NPI is 1134521834, taxonomy code is 1223G0001X and license number is D7472, license state is located at Oregon. Rafia Dental physically located at 930 Nw 14th Ave, Portland OR, 97209-2730. NPI Number 1033115704 has the healthcare provider type.

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1134521834 NPI number is provided on an as is basis without warranty of any kind. 1134521834 is maintained by the National Plan & Provider Enumeration System. The contents of Rafia Dental are for informational purposes only.