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1063556488
DIANA TABAKH
KANSAS CITY, MO
NPI
1063556488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 016135)
Enumeration Date
2007-02-18
Last Update Date
2007-07-08
Business Address
-- DIANA TABAKH DDS
12927 STATE LINE RD
KANSAS CITY, MO 64145-1238
Phone number: 816-942-7669
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Mailing Address
-- DIANA TABAKH DDS
12927 STATE LINE RD
KANSAS CITY, MO 64145-1238
Phone number: 816-942-7669
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