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General NPI Number Information
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NPI Number | 1801304845
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Entity Type | Organization
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Legal Business Name | ZIED DENTAL GROUP INC
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 1680 NORTH VINE STREET SUITE #200
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City | LOS ANGELES
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State | CA
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Zip | 90028-8844
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Country | US
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Telephone | 323-464-2033
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Fax | 323-464-2893
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Provider Business Mailing Address
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Address Line | 1680 NORTH VINE STREET SUITE #200
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City | LOS ANGELES
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State | CA
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Zip | 90028-8844
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Country | US
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Telephone | 323-464-2033
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Fax | 323-464-2893
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MRS. HEBA ZIED
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Credential | DDS
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Telephone | 323-464-2033
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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 | 63202
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License Number State | CA
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