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General NPI Number Information
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NPI Number | 1740009992
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Entity Type | Organization
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Legal Business Name | ABHILASHA BAL DENTAL CORPORATION
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Dates
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Enumeration Date | 10/05/2024
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Last Update Date | 10/05/2024
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Provider Practice Location Address
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Address Line | 2299 POST ST STE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3443
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Country | US
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Telephone | 415-775-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 850 ELIZABETH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-3118
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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
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Name | DR. ABHILASHA BAL
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Credential | DDS
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Telephone | 512-963-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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