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General NPI Number Information
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NPI Number | 1184568677
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Entity Type | Organization
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Legal Business Name | RAZFAR PREMIER DENTAL
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 401 PURDY ST STE 101
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City | EASTON
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State | MD
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Zip | 21601-4060
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Country | US
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Telephone | 410-819-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 8724 SKY VIEW DR
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City | EASTON
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State | MD
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Zip | 21601-7937
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Country | US
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Telephone | 571-271-5983
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOSSEIN RAZFAR
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Credential | DMD
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Telephone | 571-271-5983
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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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