Individual
MEHRAN MALAKPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5311 E BROADWAY BLVD, TUCSON, AZ 85711-3710
(602) 314-9977
Mailing address
9081 W BLUE SAGUARO ST, MARANA, AZ 85653-1424
(602) 314-9977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D010860
AZ
1223E0200X
Endodontics
Primary
D010860
AZ
Other
Enumeration date
09/03/2017
Last updated
07/21/2022
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