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General NPI Number Information
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NPI Number | 1225426778
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Entity Type | Organization
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Legal Business Name | MAHER AL-BOUZ DENTAL CORPORATION OF WOODLAND HILLS
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 22062 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1645
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Country | US
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Telephone | 909-599-2029
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Fax | 909-599-4342
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Provider Business Mailing Address
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Address Line | 22062 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1645
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Country | US
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Telephone | 909-599-2029
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Fax | 909-599-4342
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MAHER AL-BOUZ
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Credential | DDS
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Telephone | 909-599-2029
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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 | 46013
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License Number State | CA
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