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1982198354
TAHA MIRZA
ROCKFORD, IL
NPI
1982198354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019031740)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
Dr. TAHA MIRZA DDS
845 S PERRYVILLE RD
ROCKFORD, IL 61108-4340
Phone number: 779-423-2135
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Mailing Address
Dr. TAHA MIRZA DDS
2105 W SILVERLEAF CT
ADDISON, IL 60101-6403
Phone number:
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