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General NPI Number Information
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NPI Number | 1750596037
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Entity Type | Organization
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Legal Business Name | COMFORT DENTAL GROUP PLLC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 33966 W 8 MILE RD STE 104
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City | FARMINGTON
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State | MI
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Zip | 48335-5273
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Country | US
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Telephone | 248-474-6434
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Fax | 248-474-7125
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Provider Business Mailing Address
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Address Line | 33966 W. EIGHT MILE RD. #104
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City | FARMINGTON
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State | MI
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Zip | 48335
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Country | US
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Telephone | 248-474-6434
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Fax | 248-474-7125
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Authorized Official
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Title or Position | OWNER
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Name | AZIZA ASKARI
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Credential | DMD
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Telephone | 248-474-6434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901018778
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License Number State | MI
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