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General NPI Number Information
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NPI Number | 1538132550
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Entity Type | Organization
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Legal Business Name | KMZ DDS APDC
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 905 SECRET RIVER DR STE C
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-391-4848
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Fax | 916-421-7931
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Provider Business Mailing Address
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Address Line | 905 SECRET RIVER DR STE C
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-391-4848
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Fax | 916-421-7931
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARL M ZANDER III
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Credential | DDS
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Telephone | 916-391-4848
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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 | 50123
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License Number State | CA
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