Mehran Khanbabapour

NPI #1023480860 in Tolleson, Arizona

Provider Information

NPI Number: 1023480860
Entity Type: Individual
Name: Mehran Khanbabapour
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 20, 2015
Last Updated: Jul 30, 2019

Practice Location

Address: 2755 S 99TH AVE STE 105
City: Tolleson
State: Arizona
ZIP Code: 85353-1404
Phone: (623) 478-1624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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