Individual provider · NPI-1

Dr. Nima Afsari

Dentist, General Practice · Medford, OR

NPI number1447669171
StatusActive
Last updated in NPPESOct 8, 2014

Details

NPI
1447669171
Entity type
Individual (NPI-1)
Name
Dr. Nima Afsari
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 6, 2014
Last updated
Oct 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD10148ORYes
1223G0001X Dentist, General Practice63741CA

Practice location

11 Rossanley Dr
Medford, OR 97501-1713

Phone 541-779-4799

Mailing address

11 Rossanley Dr
Medford, OR 97501-1713

Phone 541-779-4799

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