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General NPI Number Information
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NPI Number | 1144419334
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Entity Type | Organization
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Legal Business Name | ANWAR ZAKI, NASSER DDS INC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 8990 SIERRA AVE SUITE #F
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City | FONTANA
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State | CA
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Zip | 92335
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Country | US
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Telephone | 909-371-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 8990 SIERRA AVE SUITE #F
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City | FONTANA
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State | CA
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Zip | 92335
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Country | US
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Telephone | 909-371-0022
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. ANWAR Z. NASSER
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Credential | DDS
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Telephone | 909-371-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 45935
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License Number State | CA
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