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General NPI Number Information
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NPI Number | 1255131405
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Entity Type | Organization
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Legal Business Name | ZAGROS DENTAL CARE PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1561 HERO WAY SUITE 110
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City | LEANDER
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State | TX
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Zip | 78641
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Country | US
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Telephone | 512-850-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 FOXTREE CV
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City | AUSTIN
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State | TX
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Zip | 78750-7932
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Country | US
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Telephone | 281-948-4961
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DENTIST
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Name | DR. SAHAR GHAMSARI
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Credential | DDS
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Telephone | 512-850-6920
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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 |
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License Number State |
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