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1144231879
AZITA ZADEH
PORTLAND, OR
NPI
1144231879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR 114606)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- AZITA ZADEH ptda
17803 NW DEERFIELD DR
PORTLAND, OR 97229-1778
Phone number: 503-614-8579
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Mailing Address
-- AZITA ZADEH ptda
17803 NW DEERFIELD DR
PORTLAND, OR 97229-1778
Phone number: 503-614-8579
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