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1235200205
MARIAM SUSANNE FALLAHZADEH
PARIS, KY
NPI
1235200205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 7770)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- MARIAM SUSANNE FALLAHZADEH DMD
4223A LEXINGTON ROAD BOURBON FAMILY DENTISTRY PLLC
PARIS, KY 40361
Phone number: 859-988-0308
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Mailing Address
-- MARIAM SUSANNE FALLAHZADEH DMD
4223A LEXINGTON ROAD
PARIS, KY 40361
Phone number: 859-988-0308
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