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General NPI Number Information
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NPI Number | 1447405840
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Entity Type | Organization
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Legal Business Name | TURCIOS & ZARRUK DENTAL, P.A.
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 315 N BOWMAN RD SUITE11
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2739
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Country | US
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Telephone | 305-984-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 315 BOWMAN RD SUITE 11
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City | LITTLE ROCK
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State | AR
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Zip | 72211
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Country | US
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Telephone | 305-984-7050
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | DR. JOSE ERNESTO TURCIOS
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Credential | DDS
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Telephone | 305-984-7050
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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 | 3555
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3607
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License Number State | AR
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