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Search › Oregon › 122300000X

Walied Eldomiaty, DDS

NPI 1881256766 · on the registry since 2019 · sole proprietor

Practice

Address
4055 Mercantile Dr Apt 374
Lake Oswego, OR 97035
Phone
(202) 285-8313
Organisation at this address
Lake Grove Dental
Pure Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223P0300X
Licence states on file
KY, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon