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1841681525
FARASHTA SEDIQZAD
GREEN BAY, WI
NPI
1841681525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CO 00201953)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
FARASHTA SEDIQZAD DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-1702
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Mailing Address
FARASHTA SEDIQZAD DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-1702
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