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Individual

DR. SADRIDDIN NAIMOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2530 SHASTA WAY, KLAMATH FALLS, OR 97601-4356
(541) 810-7040
(541) 516-4049
Mailing address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(888) 468-0022

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
056577
NY
122300000X
Dentist
Primary
D9368
OR
1223G0001X
General Practice Dentistry
D9368
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04595915
NY
01
056577
LICENSE
NY
05
500678241
OR
Enumeration date
12/21/2011
Last updated
01/28/2021
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