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NPI Code Detail

MEDICARE: DR. FARZAD SAED DMD

MEDICARE: DR. FARZAD SAED DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019020764IL

General Provider Information

NPI Number : 1063575181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARZAD SAED DMD
Provider Business Mailing Address
First Line : 126 WASHINGTON AVE
Second Line :
City : HIGHWOOD
State : IL
Zip : 60040-1122
Country : US
Telephone Number : 847-681-1000
Fax Number : 847-681-1001
Provider Business Practice Location Address
First Line : 126 WASHINGTON AVE
Second Line :
City : HIGHWOOD
State : IL
Zip : 60040-1122
Country : US
Telephone Number : 847-681-1000
Fax Number : 847-681-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 01/04/2009

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