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General NPI Number Information
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NPI Number | 1508741125
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Entity Type | Organization
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Legal Business Name | MD SPEKTOR DDS PLLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1545 116TH AVENUE NE, STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-470-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 4170 TRUXEL ROAD, STE C
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City | SACRAMENTO
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State | CA
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Zip | 95834
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JAGDEV HEIR
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Credential | MD, DMD, FACS
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Telephone | 518-441-5483
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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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