| Mehdi L. Ghavam, D.m.d. L.l.c. | |
|
106 N Market St Talent OR 97540-0265 | |
| (541) 890-1950 | |
| (541) 512-2601 |
| Full Name | Mehdi L. Ghavam, D.m.d. L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 N Market St, Talent, Oregon |
| Authorized Official Name and Position | Mehdi Lee Ghavam (DENTIST) |
| Authorized Official Contact | 5418901950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehdi L. Ghavam, D.m.d. L.l.c. 3200 Anderson Creek Rd Talent OR 97540-7733 Ph: (541) 890-1950 | Mehdi L. Ghavam, D.m.d. L.l.c. 106 N Market St Talent OR 97540-0265 Ph: (541) 890-1950 |
| NPI Number | 1912340241 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912340241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8425 (Oregon) | Primary |
Vyshnu P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Pacific Hwy, Unit # 6, Talent, OR 97540 Phone: 541-897-4466 | |
Murphy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 N Pacific Hwy, Suite 6, Talent, OR 97540 Phone: 541-897-4555 |