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General NPI Number Information
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NPI Number | 1245240605
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Entity Type | Organization
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Legal Business Name | KURT A. SEIDLER, D.D.S., INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1930 E ROSEMEADE PKWY SUITE 103
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City | CARROLLTON
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State | TX
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Zip | 75007-2473
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Country | US
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Telephone | 972-492-0411
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Fax | 972-394-0917
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Provider Business Mailing Address
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Address Line | 1930 E ROSEMEADE PKWY SUITE 103
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City | CARROLLTON
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State | TX
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Zip | 75007-2473
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Country | US
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Telephone | 972-492-0411
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Fax | 972-394-0917
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KURT ADIN SEIDLER
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Credential | D.D.S.
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Telephone | 972-492-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12622
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License Number State | TX
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