NPI 1003138116

Beaverton Family Dentistry

Organisation General Practice Dentistry Beaverton, OR

Practice location

Address: 10950 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3003
Phone: (503) 641-1100

Authorised official

Name: Tony H Moghimian
Title: President
Phone: (503) 641-1100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D6683 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1003138116
Entity type: Organization
NPI issued: 17 Feb 2010
Record last updated: 17 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.