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General NPI Number Information
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NPI Number | 1528858990
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Entity Type | Organization
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Legal Business Name | MAGNA DENTAL CARE LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 5103 MAGNA CARTA BLVD STE 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-5217
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Country | US
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Telephone | 469-699-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 5103 MAGNA CARTA BLVD STE 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-5217
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Country | US
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Telephone | 469-699-0070
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SARABJEET GREWAL
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Credential | DDS
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Telephone | 650-438-5824
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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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