Individual
DR. DELARAM SADAT AGHILI MEHRIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
75 SHERRY AVE, PARK FALLS, WI 54552-1468
(715) 762-0200
Mailing address
75 SHERRY AVE, PARK FALLS, WI 54552-1468
(715) 762-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031433
IL
122300000X
Dentist
1001706-15
WI
122300000X
Dentist
102361
CA
122300000X
Dentist
10457477-9921
UT
122300000X
Dentist
Primary
34749
TX
122300000X
Dentist
DEN.00203335
CO
122300000X
Dentist
DS041484
PA
Other
Enumeration date
05/23/2017
Last updated
01/26/2019
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