Organization
REZAEE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM REZAEE DMD (OWNER/DENTIST)
(541) 683-8034
Entity
Organization
Contact information
Practice address
2400 WILLAMETTE ST, EUGENE, OR 97405-3131
(541) 683-8034
(541) 485-3134
Mailing address
2400 WILLAMETTE ST, EUGENE, OR 97405-3131
(541) 683-8034
(541) 485-3134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7282
OR
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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