Organization
BAHMAN TEHRANI ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHMAN TEHRANI DDS (OWNER, PRESIDENT)
(417) 396-3602
Entity
Organization
Contact information
Practice address
1214 US HIGHWAY 60 E, REPUBLIC, MO 65738-1248
(417) 732-4700
Mailing address
2105 E HALEY ST, REPUBLIC, MO 65738-7836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1999139479
MO
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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