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General NPI Number Information
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NPI Number | 1457971442
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Entity Type | Organization
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Legal Business Name | BAHAR ESMAILI DDS PLLC
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1200 28TH ST STE 300
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City | BOULDER
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State | CO
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Zip | 80303-1756
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Country | US
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Telephone | 303-417-1644
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Fax | 303-417-1790
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Provider Business Mailing Address
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Address Line | 1200 28TH ST STE 300
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City | BOULDER
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State | CO
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Zip | 80303-1756
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Country | US
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Telephone | 303-417-1644
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Fax | 303-417-1790
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. BAHAR ESMAILI
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Credential | DDS
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Telephone | 303-417-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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