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1568957843
RIZA THAIBA
MEDFORD, OR
NPI
1568957843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D11487)
Additional Taxonomies
122300000X Dentist
(Licence: MN D14063)
Enumeration Date
2018-06-28
Last Update Date
2023-08-23
Business Address
DR. RIZA THAIBA DDS
1113 PROGRESS DR
MEDFORD, OR 97504-5201
Phone number: 541-512-3900
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Mailing Address
DR. RIZA THAIBA DDS
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number:
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