MR. ALIREZA FARID BOLOURI DMD NPI 1699833772

NPI Information

MR. Alireza Farid Bolouri, DMD is a general practice dentist in Milwaukie, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Alireza Farid Bolouri, DMD NPI is 1699833772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11103 SE MAIN ST
SUITE B
MILWAUKIE, OR
ZIP 97222
Phone: (503) 654-0613
Fax: (503) 654-4087

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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