Organization
MEHRAN R. LARI, DDS, PLLC
Active
Other names
Creative Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN RASTEGAR-LARI DDS (OWNER)
(520) 820-1319
Entity
Organization
Contact information
Practice address
15631 N ORACLE RD, SUITE 187, TUCSON, AZ 85739-8691
(520) 825-8112
(520) 825-2242
Mailing address
15631 N ORACLE RD, SUITE 187, TUCSON, AZ 85739-8691
(520) 825-8112
(520) 825-2242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6100
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144939
—
AZ
Enumeration date
12/09/2011
Last updated
12/09/2011
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