Bahman Tehrani DDS LLC

NPI #1356601785 in Republic, Missouri

Provider Information

NPI Number: 1356601785
Entity Type: Organization
Organization Name: Bahman Tehrani DDS LLC
Primary Specialty: Dentist
Enumeration Date: May 18, 2012
Last Updated: May 18, 2012

Practice Location

Address: 1214 US HIGHWAY 60 E
City: Republic
State: Missouri
ZIP Code: 65738-1248
Phone: (417) 732-4700

Authorized Official

Name: MR. BAHMAN TEHRANI, DDS
Title: OWNER
Phone: (417) 396-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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