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General NPI Number Information
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NPI Number | 1699721647
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Entity Type | Organization
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Legal Business Name | TODD J AYARS DDS, PA
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 2611 BOLTON BOONE DR
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City | DESOTO
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State | TX
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Zip | 75115-2011
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Country | US
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Telephone | 972-296-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 2611 BOLTON BOONE DR
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City | DESOTO
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State | TX
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Zip | 75115-2011
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Country | US
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Telephone | 972-296-9976
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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. TODD J AYARS
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Credential | D.D. S.
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Telephone | 972-296-9976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21218
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License Number State | TX
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