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General NPI Number Information
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NPI Number | 1174481584
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Entity Type | Organization
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Legal Business Name | ZARA DENTAL PLLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1336 N GALLOWAY AVE STE 110
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City | MESQUITE
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State | TX
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Zip | 75149-2490
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Country | US
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Telephone | 469-440-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 LUVERNE DR
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City | WYLIE
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State | TX
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Zip | 75098-8606
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Country | US
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Telephone | 929-497-9310
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NOURA AHMED KHUSHAFA
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Credential | DMD
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Telephone | 929-497-9310
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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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