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General NPI Number Information
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NPI Number | 1730779505
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Entity Type | Individual
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Provider Name | ZACHARY DAVID LANDGRAF DDS
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Gender | Male
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 8955 WOOD ROAD, BUILDING 1, 4TH FLOOR
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City | FPO
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State | AA
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Zip | 20889
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Country | US
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Telephone | 301-295-0064
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Fax |
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Provider Business Mailing Address
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Address Line | 8955 WOOD ROAD, BUILDING 1, 4TH FLOOR
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City | FPO
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State | AA
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Zip | 20889
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Country | US
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Telephone | 301-295-0064
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | D11392
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License Number State | OR
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