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1689058307
IAN ANTHONY SPORT
HOUSTON, TX
NPI
1689058307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 31190)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- IAN ANTHONY SPORT DDS
6421 W 43RD ST
HOUSTON, TX 77092-4005
Phone number: 817-217-5110
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Mailing Address
-- IAN ANTHONY SPORT DDS
155 BIRDSALL ST #406
HOUSTON, TX 77007-2569
Phone number: 817-217-5110
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