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Individual
MAHZAD KOOCHAKI
Active
Individual
MAHZAD KOOCHAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022326
MI
1223E0200X
Endodontics
Primary
2901022326
MI
1223E0200X
Endodontics
Primary
39346
MI
1223E0200X
Endodontics
Primary
39346
TX
Other
Enumeration date
05/02/2017
Last updated
09/19/2026
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