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General NPI Number Information
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NPI Number | 1811260763
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Entity Type | Organization
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Legal Business Name | SILBERTAB PC
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 19200 PRESTON RD SUITE 100
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City | DALLAS
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State | TX
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Zip | 75252-2450
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Country | US
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Telephone | 972-232-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 19200 PRESTON RD SUITE 100
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City | DALLAS
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State | TX
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Zip | 75252-2450
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Country | US
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Telephone | 972-232-2838
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID SILBER
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Credential | DMD
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Telephone | 214-335-2257
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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 | 20143
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20143
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License Number State | TX
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