Individual
DR. ALI MEHRABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4060 JOHNS CREEK PKWY, BUILDING C, SUWANEE, GA 30024-1254
(678) 205-3777
(678) 205-3888
Mailing address
1935 VINEYARD CT, ALPHARETTA, GA 30004-7831
(678) 770-0064
(678) 205-3888
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011676
GA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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