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General NPI Number Information
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NPI Number | 1225587876
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Entity Type | Organization
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Legal Business Name | SAM S MARKZAR DDS INC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 8500 WILSHIRE BLVD STE 819
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3106
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Country | US
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Telephone | 714-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 WILSHIRE BLVD STE 819
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | SAM S MARKZAR
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Credential |
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Telephone | 310-360-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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