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1295335404
IDA NOURBAKHSH
SALT LAKE CITY, UT
NPI
1295335404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 11890735-8903)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
Dr. IDA NOURBAKHSH DDS
1947 E REDONDO AVE
SALT LAKE CITY, UT 84108-3119
Phone number: 801-641-1537
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Mailing Address
Dr. IDA NOURBAKHSH DDS
1947 E REDONDO AVE
SALT LAKE CITY, UT 84108-3119
Phone number: 801-641-1537
Copy
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