OrganizationActive
Beaverton Family Dentistry
NPI 1003138116 · General Practice Dentistry · Beaverton, OR
Provider details
- NPI number
- 1003138116
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tony Moghimian, President(503) 641-1100
- License
- D6683 (OR)
Specialties & taxonomies
Dental Providers
Practice location
10950 Sw Beaverton Hillsdale Hwy
Beaverton, OR 97005-3003
Phone: (503) 641-1100
Approximate (ZIP-level) locationGet directions
Mailing address
10950 Sw Beaverton Hillsdale Hwy
Beaverton, OR 97005-3003
Registry dates
- Enumerated
- 2010-02-17
- Last updated
- 2010-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.