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General NPI Number Information
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NPI Number | 1518853076
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Entity Type | Organization
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Legal Business Name | CHOUDHARY DENTAL CORPORATION
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4801 FREEPORT BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95822-2101
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Country | US
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Telephone | 415-240-9831
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Fax |
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Provider Business Mailing Address
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Address Line | 5155 3RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-2355
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Country | US
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Telephone | 415-240-9831
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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. ZAIN CHOUDHARY
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Credential | DMD
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Telephone | 415-240-9831
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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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