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Individual

DR. KOUROSH MEHRABIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19731 FREDERICK RD, GERMANTOWN, MD 20876-1337
(301) 528-5000
(301) 528-0700
Mailing address
8120 FENTON STREET, SUITE #100, SILVER SPRING, MD 20910
(301) 608-9800
(301) 608-9331

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401008909
VA
122300000X
Dentist
Primary
12266
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154657344
MD
Enumeration date
02/16/2007
Last updated
07/31/2023
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