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Individual
DR. MEHRAN MEHRABI
Active
Individual
DR. MEHRAN MEHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20002
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6344-15
WI
208600000X
Surgery Physician
52824-20
WI
Other
Enumeration date
09/01/2006
Last updated
09/05/2025
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