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General NPI Number Information
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NPI Number | 1205855400
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Entity Type | Organization
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Legal Business Name | ARLINGTON DENTAL SERVICES, P.A.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4654 S COOPER ST STE. 316
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City | ARLINGTON
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State | TX
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Zip | 76017-5865
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Country | US
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Telephone | 817-557-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 4654 S COOPER ST STE. 316
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City | ARLINGTON
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State | TX
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Zip | 76017-5865
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Country | US
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Telephone | 817-557-0095
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A KESTENBAUM
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Credential | DDS
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Telephone | 817-557-0095
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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 | 12668
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License Number State | TX
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