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1831758283
MENAKHEM DAVIDOV
SOUTH JORDAN, UT
NPI
1831758283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 11285655-9922)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
MENAKHEM DAVIDOV DMD
3648 W 9800 S
SOUTH JORDAN, UT 84009-3260
Phone number: 801-260-0100
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Mailing Address
MENAKHEM DAVIDOV DMD
11100 S RIVER HEIGHTS DR APT B227
SOUTH JORDAN, UT 84095-6216
Phone number: 347-556-6937
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