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General NPI Number Information
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NPI Number | 1689515975
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTIST NEAR ME EAST DALLAS PLLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3535 N BUCKNER BLVD STE 114
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City | DALLAS
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State | TX
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Zip | 75228-5633
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Country | US
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Telephone | 817-656-1215
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Fax | 877-230-8349
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Provider Business Mailing Address
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Address Line | 3535 N BUCKNER BLVD STE 114
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City | DALLAS
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State | TX
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Zip | 75228-5633
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Country | US
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Telephone | 817-656-1215
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Fax | 877-230-8349
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Authorized Official
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Title or Position | MANAGER
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Name | SARAH SAQIB
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Credential | STAFF
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Telephone | 817-656-1215
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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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