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1194378141
IDA ETTEHADIEH
HOUSTON, TX
NPI
1194378141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 35400)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
IDA ETTEHADIEH DMD
4310 MOUNTAIN FLOWER CT
HOUSTON, TX 77059-5528
Phone number: 281-705-5667
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Mailing Address
IDA ETTEHADIEH DMD
4310 MOUNTAIN FLOWER CT
HOUSTON, TX 77059-5528
Phone number: 281-705-5667
Copy
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