Individual
DR. MEHDI LEE GHAVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
277 5TH ST, ASHLAND, OR 97520-2058
(541) 482-1744
(541) 482-4128
Mailing address
277 5TH ST, ASHLAND, OR 97520-2058
(541) 482-1744
(541) 482-4128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8425
OR
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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