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General NPI Number Information
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NPI Number | 1588100028
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Entity Type | Organization
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Legal Business Name | EKTA SAGAR DDS PLLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 7975 W GRAND PKWY S STE 120
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City | RICHMOND
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State | TX
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Zip | 77407-8603
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Country | US
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Telephone | 832-595-9000
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Fax | 832-595-9004
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Provider Business Mailing Address
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Address Line | 14111 MANDERLY DR
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City | HOUSTON
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State | TX
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Zip | 77077-1817
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Country | US
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Telephone | 917-687-2839
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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. EKTA SAGAR
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Credential | DDS
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Telephone | 917-687-2839
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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 | 31041
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License Number State | TX
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