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General NPI Number Information
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NPI Number | 1710648969
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Entity Type | Organization
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Legal Business Name | SAIR DENTAL GROUP
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Dates
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Enumeration Date | 01/09/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 10345 CLUB CREEK DR
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City | HOUSTON
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State | TX
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Zip | 77036-7129
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Country | US
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Telephone | 281-558-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 6814 ARBOR WOOD LANE
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City | SUGAR LAND
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State | TX
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Zip | 77479
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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 | DENTIST
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Name | DR. MUSSADIQ IFTIKHAR
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Credential |
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Telephone | 512-677-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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