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General NPI Number Information
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NPI Number | 1790509636
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Entity Type | Organization
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Legal Business Name | MUIR ORAL FACIAL AND DENTAL IMPLANT SURGERY
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 122 LA CASA VIA STE 223
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3014
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Country | US
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Telephone | 925-933-6190
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Fax | 925-945-7320
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Provider Business Mailing Address
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Address Line | 122 LA CASA VIA STE 223
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3014
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Country | US
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Telephone | 925-933-6190
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Fax | 925-945-7320
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NESTOR DENIS KARAS
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Credential | DDS MD
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Telephone | 925-933-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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