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1922838978
FARAH ETIBA
SOUTHFIELD, MI
NPI
1922838978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MI 2901602049)
Enumeration Date
2024-08-05
Last Update Date
2024-08-06
Business Address
FARAH ETIBA DDS
23225 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-7707
Phone number: 248-965-8707
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Mailing Address
FARAH ETIBA DDS
7092 BEVERLY CREST DR
WEST BLOOMFIELD, MI 48322-3739
Phone number:
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