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1174190631
MONA BAZAZZADEH
NEW YORK, NY
NPI
1174190631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: VA 0401417403)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
MONA BAZAZZADEH
154 HAVEN AVE # 1003
NEW YORK, NY 10032-1180
Phone number: 206-712-9821
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Mailing Address
MONA BAZAZZADEH
154 HAVEN AVE # 1003
NEW YORK, NY 10032-1180
Phone number: 206-712-9821
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