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1174870687
FARHAJ MIRZA
RIVERHEAD, NY
NPI
1174870687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 057855-1)
Enumeration Date
2012-08-14
Last Update Date
2022-07-21
Business Address
Dr. FARHAJ MIRZA D.M.D.
54 COMMERCE DR SUITE 1
RIVERHEAD, NY 11901
Phone number: 631-591-3243
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Mailing Address
Dr. FARHAJ MIRZA D.M.D.
54 COMMERCE DRIVE SUITE 1
RIVERHEAD, NY 11901-4454
Phone number: 631-591-3243
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