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General NPI Number Information
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NPI Number | 1053270918
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Entity Type | Organization
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Legal Business Name | DYAB DENTAL CORP
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 6661 STANFORD RANCH RD STE D
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City | ROCKLIN
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State | CA
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Zip | 95677-2675
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Country | US
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Telephone | 916-471-2999
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Fax | 916-244-4077
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Provider Business Mailing Address
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Address Line | 6661 STANFORD RANCH RD STE D
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City | ROCKLIN
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State | CA
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Zip | 95677-2675
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Country | US
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Telephone | 916-471-2999
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Fax | 916-244-4077
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | OMAR DYAB
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Credential | DDS
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Telephone | 916-471-2999
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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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