Fakhravar, Behnam

Fakhravar, Behnam is an sole proprietor health care provider with primary practice located at 322 Se 192Nd Ave Ste 100 , Vancouver WA 98683-9679. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fakhravar, Behnam can be contacted via phone (219) 360-9587.

Contact Information

Primary practice address
322 Se 192Nd Ave Ste 100 Vancouver WA 98683-9679
Phone: (219) 360-9587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DDS61887 California
Dental Providers / Periodontics 1223P0300X 1001779 Wisconsin
Dental Providers / Periodontics 1223P0300X 28573 Texas
Dental Providers / Periodontics 1223P0300X D9565 Oregon
Dental Providers / Periodontics 1223P0300X DE60231686 Washington

Profile Details

NPI number 1700164969
LBN Legal business name Fakhravar, Behnam
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2011
Last updated Feb 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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