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General NPI Number Information
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NPI Number | 1023703428
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Entity Type | Organization
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Legal Business Name | PS DENTAL PLLC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 2300 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75224-1638
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Country | US
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Telephone | 972-525-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75224-1638
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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 | OWNER
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Name | RAJVIR SINGH
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Credential | DMD
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Telephone | 469-809-1919
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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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