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Individual
SHEBLI MEHRAZARIN
Active
Individual
SHEBLI MEHRAZARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61732
CA
1223P0300X
Periodontics
17802
MD
1223P0300X
Periodontics
Primary
61732
CA
1223P0300X
Periodontics
DEN2000209
DC
Other
Enumeration date
07/06/2018
Last updated
05/06/2024
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