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General NPI Number Information
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NPI Number | 1821930249
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Entity Type | Organization
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Legal Business Name | LAKEHAVEN DENTAL PLLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 2490 W CRAWFORD ST
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City | DENISON
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State | TX
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Zip | 75020-4000
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Country | US
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Telephone | 903-463-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 2490 W CRAWFORD ST
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City | DENISON
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State | TX
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Zip | 75020-4000
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Country | US
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Telephone | 903-463-1111
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ZOHAIB AHMED
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Credential | DDS, MPH
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Telephone | 773-226-3212
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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 |
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License Number State |
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