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1215218649
IRINA KAZBANOV
EDGEWATER, NJ
NPI
1215218649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 056302-1)
Enumeration Date
2011-08-30
Last Update Date
2012-10-23
Business Address
Dr. IRINA KAZBANOV DMD
93 MYRTLE AVE APT 2
EDGEWATER, NJ 07020-1411
Phone number: 917-532-0226
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Mailing Address
Dr. IRINA KAZBANOV DMD
93 MYRTLE AVE APT 2
EDGEWATER, NJ 07020-1411
Phone number: 917-532-0226
Copy
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