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General NPI Number Information
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NPI Number | 1013836063
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Entity Type | Organization
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Legal Business Name | OAK AND IVORY DENTAL
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 15930 S GREAT OAKS DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-5800
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Country | US
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Telephone | 512-645-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 BALERIC DR
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City | LEANDER
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State | TX
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Zip | 78641-4708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DR
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Name | AFIYA TAMKEEN
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Credential | DDS
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Telephone | 512-576-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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