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1548721541
ERMIAS MEHRETAB
SURPRISE, AZ
NPI
1548721541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D010758)
Enumeration Date
2019-03-31
Last Update Date
2021-06-24
Business Address
Dr. ERMIAS MEHRETAB DDS
15317 W BELL RD STE 108
SURPRISE, AZ 85374-3901
Phone number: 877-809-5092
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Mailing Address
Dr. ERMIAS MEHRETAB DDS
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012-2808
Phone number: 877-509-5092
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