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General NPI Number Information
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NPI Number | 1164258786
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Entity Type | Organization
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Legal Business Name | ZAVERDINOS DENTAL CORP
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1273 LAS FLORES DR
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City | CARLSBAD
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State | CA
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Zip | 92008-1030
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Country | US
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Telephone | 760-434-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 1273 LAS FLORES DR
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City | CARLSBAD
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State | CA
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Zip | 92008-1030
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Country | US
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Telephone | 760-434-2526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICAELA ZAVERDINOS
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Credential | DMD, MPH, MSD
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Telephone | 760-434-2526
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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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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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