Individual
ELAHE KHODABANDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12326
OR
1223D0001X
Public Health Dentistry
D12326
OR
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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