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General NPI Number Information
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NPI Number | 1265314561
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Entity Type | Organization
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Legal Business Name | HEMMATIAN DENTAL TAKOMA
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 6925 WILLOW ST NW STE B106
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City | WASHINGTON
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State | DC
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Zip | 20012-2000
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Country | US
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Telephone | 202-723-8284
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Fax | 202-882-1127
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Provider Business Mailing Address
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Address Line | 6925 WILLOW ST NW STE B-106
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City | WASHINGTON
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State | DC
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Zip | 20012-2000
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Country | US
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Telephone | 202-723-8284
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Fax | 202-882-1127
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Authorized Official
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Title or Position | DOCTOR
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Name | MOHAMMAD HEMMATIAN
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Credential | DDS
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Telephone | 202-723-8284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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