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General NPI Number Information
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NPI Number | 1255000923
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Entity Type | Organization
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Legal Business Name | MEENAKSHI DOGRA DDS CORPORATION
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 398 LOMBARD ST STE B
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-8227
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Country | US
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Telephone | 805-496-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SILVER SPUR LN
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City | BELL CANYON
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State | CA
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Zip | 91307-1138
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Country | US
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Telephone | 818-731-5898
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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. MEENAKSHI DOGRA
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Credential | DDS
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Telephone | 818-731-5898
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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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