Provider Demographics
NPI:1992927032
Name:IRANI, MEHRNAZ (DMD)
Entity type:Individual
Prefix:DR
First Name:MEHRNAZ
Middle Name:
Last Name:IRANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18133 PARVO CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1301
Mailing Address - Country:US
Mailing Address - Phone:858-675-4549
Mailing Address - Fax:
Practice Address - Street 1:18133 PARVO CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-1301
Practice Address - Country:US
Practice Address - Phone:858-675-4549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist