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General NPI Number Information
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NPI Number | 1518368364
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Entity Type | Organization
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Legal Business Name | MUNA ALMOAYAD, DDS, INC
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 500 E ALMOND AVE SUITE 3
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City | MADERA
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State | CA
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Zip | 93637-5600
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Country | US
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Telephone | 559-661-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E ALMOND AVE SUITE 3
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City | MADERA
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State | CA
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Zip | 93637-5600
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Country | US
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Telephone | 559-661-7000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUNA ALMOAYAD
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Credential | D.D.S.
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Telephone | 559-709-5308
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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 | 44138
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License Number State | CA
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