Organization
HUSHANG GHODRAT, DDS, PA
Active
Other names
Oxford Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M. BRUMMITT (OFFICE MANAGER)
(919) 693-9755
Entity
Organization
Contact information
Practice address
1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
(919) 693-9755
(919) 693-9067
Mailing address
1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
(919) 693-9755
(919) 693-9067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6984
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905168
—
NC
Enumeration date
05/29/2007
Last updated
06/17/2008
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