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Dr. Behnam Fakhravar, DMD,MS
Periodontist in Vancouver, Washington
NPI 1700164969

Behnam Fakhravar is a Periodontist based in Vancouver, WA and is specialized in Periodontics. Behnam Fakhravar practices in Vancouver, WA and has the professional credentials of DMD,MS. The NPI Number for Behnam Fakhravar is 1700164969 and holds a License No. DDS61887 (Washington).

The current practice location address for Behnam Fakhravar is 322 Se 192Nd Ave Ste 100, Vancouver, WA and can be reached out via phone at 219-360-9587.

Location: 322 Se 192Nd Ave Ste 100, Vancouver, WA, 98683-9679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700164969
Provider Name
Behnam Fakhravar
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
322 Se 192Nd Ave Ste 100, Vancouver, WA, 98683-9679
Phone Number
219-360-9587
Fax Number
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
322 Se 192Nd Ave Ste 100
City
Vancouver
State
Washington
Zip
98683-9679
Phone Number
219-360-9587
Fax Number
person
Provider Business Mailing Address Details
Address
322 Se 192Nd Ave Ste 100
City
Vancouver
State
Washington
Zip
98683-9679
Phone Number
219-360-9587
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DDS61887 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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