Search › Arizona › 1223G0001X
Mehran Khanbabapour
NPI 1023480860 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2755 S 99th Ave Ste 105
Tolleson, AZ 85353 - Phone
- (623) 478-1624
- Organisation at this address
- Promenade Dental Group, Llp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 6958 Nebraska Ave, Fort Leonard Wood, MO
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- AZ, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona