Organization · Type 2 NPI
Mehdi L. Ghavam, D.m.d. L.l.c.
Dental Clinic/Center · Talent, OR
NPI number
1912340241
Active
Practice location
106 N Market St
Talent, OR 97540-0265
Fax (541) 512-2601
Mailing address
3200 Anderson Creek Rd
Talent, OR 97540-7733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D8425 (OR) |
Dental Clinic/Center: Definition to come...
About NPI 1912340241
Mehdi L. Ghavam, D.m.d. L.l.c.'s National Provider Identifier is 1912340241, issued on Apr 17, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Talent, OR. The record was last updated on Apr 17, 2013.