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General NPI Number Information
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NPI Number | 1306104245
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Entity Type | Organization
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Legal Business Name | Z DENTAL GROUP
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 04/29/2012
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Provider Practice Location Address
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Address Line | 6320 COMMODORE SLOAT DR DENTAL SUITE
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City | LOS ANGELES
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State | CA
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Zip | 90048-5453
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Country | US
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Telephone | 323-936-9997
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Fax | 323-936-9998
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Provider Business Mailing Address
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Address Line | 6320 COMMODORE SLOAT DRIVE DENTAL SUITE
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City | LOS ANGELES
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State | CA
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Zip | 90048-5453
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Country | US
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Telephone | 323-936-9997
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Fax | 323-936-9998
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. ARSEN BAGHDAGYULYAN
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Credential |
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Telephone | 323-936-9997
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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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