Provider Demographics
NPI:1255474474
Name:SALIMI, PEDRAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:PEDRAM
Middle Name:
Last Name:SALIMI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 SE 9TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4247
Mailing Address - Country:US
Mailing Address - Phone:503-648-8984
Mailing Address - Fax:503-693-1143
Practice Address - Street 1:324 SE 9TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4247
Practice Address - Country:US
Practice Address - Phone:503-648-8984
Practice Address - Fax:503-693-1143
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist