Individual
SURINDER K MEHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6312 S 27TH ST STE 103, OAK CREEK, WI 53154-1092
(414) 761-2450
Mailing address
6312 S 27TH ST STE 103, OAK CREEK, WI 53154-1092
(414) 761-2450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7001548
WI
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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