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Organization
MEHDI L. GHAVAM, D.M.D. L.L.C.
Active
Organization
MEHDI L. GHAVAM, D.M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI LEE GHAVAM D.M.D. (DENTIST)
(541) 890-1950
Entity
Organization
Contact information
Practice address
106 N MARKET ST, TALENT, OR 97540-0265
(541) 890-1950
(541) 512-2601
Mailing address
3200 ANDERSON CREEK RD, TALENT, OR 97540-7733
(541) 890-1950
(541) 512-2601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8425
OR
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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