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1801326111
MINA EBRAHIMI DARYANI
VOORHEES, NJ
NPI
1801326111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NJ 22D102668100)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
MINA EBRAHIMI DARYANI DMD
1307 WHITE HORSE RD STE B100
VOORHEES, NJ 08043-2156
Phone number: 857-869-7395
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Mailing Address
MINA EBRAHIMI DARYANI DMD
2400 CHESTNUT ST APT 3008
PHILADELPHIA, PA 19103-4384
Phone number: 857-869-7395
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