Lake Oswego Modern Dentistry

LBN: Lake Oswego Modern Dentistry, Pc
Lake Oswego Modern Dentistry is an health care organization with primary practice located at 4823 Meadows Rd Ste 131 , Lake Oswego OR 97035-2622. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lake Oswego Modern Dentistry, Pc can be contacted via phone (503) 334-0351, or through Afshar, Darioush via phone (503) 334-0351.

Contact Information

Primary practice address
4823 Meadows Rd Ste 131 Lake Oswego OR 97035-2622
Fax:
Website:
Authorized official contact:
Name: Afshar, Darioush Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1538707294
LBN Legal business name Lake Oswego Modern Dentistry, Pc
DBA Doing business as Lake Oswego Modern Dentistry
Authorized official Afshar, Darioush Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2019
Last updated May 11th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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