| Merat Ostovar DMD LLC | |
|
7546 Ne Shaleen St Hillsboro OR 97124-9430 | |
| (503) 614-0198 | |
| Not Available |
| Full Name | Merat Ostovar DMD LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7546 Ne Shaleen St, Hillsboro, Oregon |
| Authorized Official Name and Position | Merat B Ostovar (OWNER) |
| Authorized Official Contact | 8302000085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merat Ostovar DMD LLC 7546 Ne Shaleen St Hillsboro OR 97124-9430 Ph: (503) 614-0198 | Merat Ostovar DMD LLC 7546 Ne Shaleen St Hillsboro OR 97124-9430 Ph: (503) 614-0198 |
| NPI Number | 1770138372 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770138372 | NPI | - | NPPES |
| 1437239795 | Medicaid | OR | |
| 1144606690 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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