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1811537772 NPI number — GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION

NPI Number: 1811537772
Health Care Provider/Practitioner: GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION

Information about “1811537772” NPI (GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION) exists in 1811537772 in HTML format HTML  |  1811537772 in plain Text format TXT  |  1811537772 in PDF (Portable Document Format) PDF  |  1811537772 in an XML format XML  formats.

NPI Number : 1811537772 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811537772",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5146 MAYNARD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92122-3946",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15708 POMERADO RD # N104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POWAY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92064-2066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-485-1108",
    "PracticeLocationAddressFaxNumber": "858-485-1426",
    "EnumerationDate": "01/08/2020",
    "LastUpdateDate": "11/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAZ",
    "AuthorizedOfficialFirstName": "GALYA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "858-775-4366",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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