Mehdi L. Ghavam, D.m.d. L.l.c.

NPI #1912340241 in Talent, Oregon

Provider Information

NPI Number: 1912340241
Entity Type: Organization
Organization Name: Mehdi L. Ghavam, D.m.d. L.l.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 106 N MARKET ST
City: Talent
State: Oregon
ZIP Code: 97540-0265
Phone: (541) 890-1950

Authorized Official

Name: DR. MEHDI LEE GHAVAM, D.M.D.
Title: DENTIST
Phone: (541) 890-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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