Ida Hazeem-Layous, DMD

NPI #1992143291 in Gresham, Oregon

Provider Information

NPI Number: 1992143291
Entity Type: Individual
Name: Ida Hazeem-Layous, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 7, 2013
Last Updated: Nov 3, 2014

Practice Location

Address: 600 NE 8TH ST
City: Gresham
State: Oregon
ZIP Code: 97030-7317
Phone: (503) 553-9249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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