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NPI 1679487854

NPI 1679487854 : ANAHEIM DENTAL CENTER : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1679487854
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANAHEIM DENTAL CENTER 
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Dates
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    Enumeration Date     |    10/02/2026
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    Last Update Date     |    10/02/2026
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Provider Practice Location Address
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    Address Line         |    3174 W LINCOLN AVE STE 102 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-6085
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    Country              |    US
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    Telephone            |    714-826-5000
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    Fax                  |    714-826-5020
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Provider Business Mailing Address
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    Address Line         |    3174 W LINCOLN AVE STE 102 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-6085
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    Country              |    US
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    Telephone            |    714-826-5000
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    Fax                  |    714-826-5020
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. PETER M ZAKHARY 
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    Credential           |    DDS
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    Telephone            |    714-404-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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