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1316284763
IDA ANJOMSHOAA
JACKSON HEIGHTS, NY
NPI
1316284763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 058065)
Enumeration Date
2013-01-04
Last Update Date
2016-03-17
Business Address
-- IDA ANJOMSHOAA
3353 82ND ST A01
JACKSON HEIGHTS, NY 11372-1447
Phone number: 718-899-7811
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Mailing Address
-- IDA ANJOMSHOAA
306 MOTT ST APT #4C
NEW YORK, NY 10012
Phone number: 718-899-7811
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