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General NPI Number Information
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NPI Number | 1114732047
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Entity Type | Organization
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Legal Business Name | K2D DENTAL PLLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 7300 N MACARTHUR BLVD STE 105
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City | IRVING
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State | TX
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Zip | 75063-7533
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Country | US
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Telephone | 651-332-0595
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 PISTACHIO DR
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City | IRVING
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State | TX
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Zip | 75063-3449
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Country | US
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Telephone | 651-332-0595
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DIKSHA K SHETH
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Credential | DDS
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Telephone | 651-332-0595
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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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