Individual
MR. BAHMAN TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1214 US HWY 60 E, REPUBLIC, MO 65738-1248
(417) 732-4700
(417) 501-1661
Mailing address
1214 US HWY 60 E, REPUBLIC, MO 65738-1248
(417) 732-4700
(417) 501-1661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1999139479
MO
Other
Enumeration date
08/06/2008
Last updated
07/25/2012
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