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General NPI Number Information
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NPI Number | 1225859093
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Entity Type | Organization
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Legal Business Name | CATONSVILLE SMILES AND DENTAL CARE
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4 EAST ROLLING CROSSROADS STE 104
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City | CATONSVILLE
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State | MD
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Zip | 21228
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Country | US
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Telephone | 410-747-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 4 EAST ROLLING CROSSROADS STE 104
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City | CATONSVILLE
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State | MD
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Zip | 21228-3100
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Country | US
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Telephone | 410-242-5012
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. AMIR ZIA
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Credential | D.D.S PC
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Telephone | 410-242-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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