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1912550013
TAIBAH M A M J ALBAKER
RICHMOND, VA
NPI
1912550013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0442000372)
Enumeration Date
2019-07-18
Last Update Date
2019-09-10
Business Address
Dr. TAIBAH M A M J ALBAKER BDM
VCU SCHOOL OF DENTISTRY - DEPT OF PEDIATRIC DENTISTRY 521 N. 11 ST, SUITE 317
RICHMOND, VA 23298-0506
Phone number: 804-467-7868
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Mailing Address
Dr. TAIBAH M A M J ALBAKER BDM
PO BOX 980566
RICHMOND, VA 23298-0566
Phone number: 804-828-9095
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