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1992143291
IDA HAZEEM-LAYOUS
GRESHAM, OR
NPI
1992143291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9872)
Enumeration Date
2013-06-07
Last Update Date
2014-11-03
Business Address
-- IDA HAZEEM-LAYOUS DMD
600 NE 8TH ST
GRESHAM, OR 97030-7317
Phone number: 503-553-9249
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Mailing Address
-- IDA HAZEEM-LAYOUS DMD
600 NE 8TH ST
GRESHAM, OR 97030-7317
Phone number: 503-553-9249
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