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1396022703
DERGHAM DERGHAM
LORAIN, OH
NPI
1396022703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OH 30-023579)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
Dr. DERGHAM DERGHAM DDS
4785 LEAVITT RD
LORAIN, OH 44053-2136
Phone number: 440-282-6677
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Mailing Address
Dr. DERGHAM DERGHAM DDS
4785 LEAVITT ROAD
LORAIN, OH 44053
Phone number: 440-282-6677
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