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Organization
HUSHANG GHODRAT, DDS, PA
Active
Organization
HUSHANG GHODRAT, DDS, PA
Active
Other names
Oxford Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M. BRUMMITT (OFFICE MANAGER)
(919) 693-9755
Entity
Organization
Contact information
Practice address
1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
(919) 693-9755
(919) 693-9067
Mailing address
1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
(919) 693-9755
(919) 693-9067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905168
—
NC
Enumeration date
05/29/2007
Last updated
06/17/2008
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