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1336557396
MARYUM TARIQ
SANTA ROSA, CA
NPI
1336557396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 63626)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
-- MARYUM TARIQ
4100 MONTGOMERY DR
SANTA ROSA, CA 95405-5282
Phone number: 707-537-2020
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Mailing Address
-- MARYUM TARIQ
4100 MONTGOMERY DR
SANTA ROSA, CA 95405-5282
Phone number: 707-537-2020
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