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General NPI Number Information
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NPI Number | 1710413760
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Entity Type | Organization
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Legal Business Name | DISTRICT ENDODONTICS
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 2021 K ST NW STE 522
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-847-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 K ST NW SUITE 522
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ENDODONTIS
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Name | DR. KAVEH ZAND
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Credential | DDS
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Telephone | 530-304-5571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DEN1001513
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License Number State | DC
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