DR. Tracy Tat Kheradpour, D.M.D.
NPI #1356718548 in Mountain View, California
Provider Information
- NPI Number
- 1356718548
- Entity Type
- Individual
- Name
- DR. Tracy Tat Kheradpour, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 24, 2015
- Last Updated
- Aug 24, 2015
Practice Location
- Address
- 1950 MONTECITO AVE APT 22
- City
- Mountain View
- State
- California
- ZIP Code
- 94043-4334
- Phone
- (781) 929-7484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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