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1962781427
NIMA EHSAN
STONY BROOK, NY
NPI
1962781427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 8583)
Enumeration Date
2011-08-15
Last Update Date
2012-10-01
Business Address
Dr. NIMA EHSAN DDS
SUNY AT STONY BROOK GPR PROGRAM, DENTAL CARE CENTER, SULLIVAN HALL
STONY BROOK, NY 11794-8700
Phone number: 631-632-9245
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Mailing Address
Dr. NIMA EHSAN DDS
19 HEATHER HILL LN
LAGUNA HILLS, CA 92653-6043
Phone number: 631-632-9245
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