IDA ANJOMSHOAA

JACKSON HEIGHTS, NY
NPI1316284763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY  058065)
Enumeration Date2013-01-04
Last Update Date2016-03-17
Business Address
-- IDA ANJOMSHOAA
3353 82ND ST A01
JACKSON HEIGHTS, NY 11372-1447
Phone number: 718-899-7811
Mailing Address
-- IDA ANJOMSHOAA
306 MOTT ST APT #4C
NEW YORK, NY 10012
Phone number: 718-899-7811