Individual
DR. KHODAYAR DEHGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1930 E COLLEGE WAY, STE. A, MOUNT VERNON, WA 98273-2393
(360) 428-4300
(360) 424-1858
Mailing address
1930 E COLLEGE WAY, STE. A, MOUNT VERNON, WA 98273-2393
(360) 428-4300
(360) 424-1858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009719
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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