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General NPI Number Information
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NPI Number | 1184003667
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Entity Type | Organization
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Legal Business Name | TEKDOGAN DENTAL HEALTH CENTERS, LLC
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 720 OSTERMAN AVE SUITE 304
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City | DEERFIELD
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State | IL
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Zip | 60015-4471
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Country | US
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Telephone | 847-945-1050
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Fax | 847-940-0433
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Provider Business Mailing Address
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Address Line | 720 OSTERMAN AVE SUITE 304
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City | DEERFIELD
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State | IL
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Zip | 60015-4471
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Country | US
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Telephone | 847-945-1050
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Fax | 847-940-0433
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Authorized Official
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Title or Position | OWNER
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Name | ALI TEKDOGAN
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Credential | D.D.S.
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Telephone | 402-917-8251
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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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