DR. Ida Khobahy, DDS

NPI #1972941201 in Cornelius, Oregon

Provider Information

NPI Number: 1972941201
Entity Type: Individual
Name: DR. Ida Khobahy, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 9, 2013
Last Updated: Oct 12, 2016

Practice Location

Address: 44 N 11TH AVE
City: Cornelius
State: Oregon
ZIP Code: 97113-9020
Phone: (503) 359-8505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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