Omid Khaksarfard
Omid Khaksarfard is a General Practice Dentistry in Mt Pleasant, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
6035 Durand AveMt Pleasant, WI 53406-5049
Phone: (262) 270-6933
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6001855 (WI) |
|---|
Record details
| NPI number | 1780403477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 5, 2025 |
| Certification date | October 5, 2025 |
| Mailing address | 233 Lake Ave Apt 228, Racine, WI 53403-1045 |
Other providers in Mt Pleasant
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Dr. Maria Barnes, DDS
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-
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-
Jun Hwan Park, DMD
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