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1144343153
KAVEH GHABOUSSI
MADISON, WI
NPI
1144343153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5411-015)
Enumeration Date
2007-04-06
Last Update Date
2016-08-16
Business Address
-- KAVEH GHABOUSSI D.M.D.
5602 ODANA RD
MADISON, WI 53719-1208
Phone number: 608-227-7000
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Mailing Address
-- KAVEH GHABOUSSI D.M.D.
5602 ODANA RD
MADISON, WI 53719-1208
Phone number: 608-227-7000
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