Individual provider · Type 1 NPI

Ali Mehraban, D.M.D

Periodontics · Suwanee, GA

NPI number 1407073877 Active

Practice location

4060 Johns Creek Pkwy, Building C
Suwanee, GA 30024-1254

Fax (678) 205-3888

Mailing address

1935 Vineyard Ct
Alpharetta, GA 30004-7831

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X011676 (GA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1407073877

Ali Mehraban, D.M.D's National Provider Identifier is 1407073877, issued on Apr 19, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Suwanee, GA. The record was last updated on Jul 8, 2007.