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General NPI Number Information
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NPI Number | 1447062633
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Entity Type | Organization
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Legal Business Name | AG DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 13450 HAWTHORNE BLVD
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City | HAWTHORNE
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State | CA
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Zip | 90250-5806
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Country | US
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Telephone | 424-383-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 10787 WILSHIRE BLVD APT 503
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City | LOS ANGELES
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State | CA
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Zip | 90024-4417
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Country | US
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Telephone | 818-876-2103
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Fax |
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Authorized Official
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Title or Position | CO- PRESIDENT
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Name | DR. ARYA SEAN GOEL
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Credential | DDS
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Telephone | 818-876-2103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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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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