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Individual
MEHRAN KHANBABAPOUR
Active
Individual
MEHRAN KHANBABAPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2015021512
MO
1223G0001X
General Practice Dentistry
Primary
D010351
AZ
Other
Enumeration date
10/20/2015
Last updated
07/30/2019
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