Individual
RUMIKA IMDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-5609
(801) 878-1200
Mailing address
1061 METHVEN CT, HERNDON, VA 20170-2354
(703) 939-7921
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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