Individual
DR. CYRUS BERGER JAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1010 MAIN AVE, TILLAMOOK, OR 97141-3818
(503) 842-7788
Mailing address
1115 MAIN AVE, TILLAMOOK, OR 97141-3819
(503) 842-7788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9114
OR
1223G0001X
General Practice Dentistry
24530
TX
1223G0001X
General Practice Dentistry
Primary
D9114
OR
Other
Enumeration date
07/01/2008
Last updated
10/06/2020
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