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General NPI Number Information
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NPI Number | 1518635275
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Entity Type | Organization
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Legal Business Name | ZAKI & PEJMAN GONZALEZ DENTAL GROUP INC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 6438 RITA AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4187
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Country | US
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Telephone | 323-277-4044
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Fax | 323-277-4047
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Provider Business Mailing Address
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Address Line | 1701 CAMINO DE VILLAS
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City | BURBANK
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State | CA
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Zip | 91501-1109
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Country | US
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Telephone | 818-571-1845
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NAASHA PEJMAN-GONZALEZ
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Credential | DDS
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Telephone | 818-571-1845
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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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