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1750123345
GRACE ISHAK
SEMINOLE, FL
NPI
1750123345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DRPM2745)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
GRACE ISHAK DMD
9200 113TH ST
SEMINOLE, FL 33772-2800
Phone number: 727-893-5050
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Mailing Address
GRACE ISHAK DMD
2616 DERBY GLEN DR
LUTZ, FL 33559-2006
Phone number: 813-325-1310
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