Mojgan Ebrahimi, DDS
Dentist in Tishomingo, OK. Individual provider (NPI-1).
NPI number1720177892
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1720177892
- Entity type
- Individual (NPI-1)
- Name
- Mojgan Ebrahimi
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7795 | OK | Yes |
Practice location
610 E 24th StTishomingo, OK 73460-3245
Phone 580-371-2343 · Fax 580-371-3614
Mailing address
610 E 24th StTishomingo, OK 73460-3245
Phone 580-371-2343 · Fax 580-371-3614
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All 13 Dentist providers in Tishomingo · All 289 providers in Tishomingo
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