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General NPI Number Information
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NPI Number | 1841350329
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Entity Type | Organization
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Legal Business Name | BEDFORD DENTAL ARTS LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 41 NORTH RD SUITE 207
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City | BEDFORD
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State | MA
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Zip | 01730-1037
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Country | US
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Telephone | 781-275-6365
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Fax | 781-275-2273
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Provider Business Mailing Address
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Address Line | 41 NORTH RD SUITE 207
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City | BEDFORD
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State | MA
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Zip | 01730-1037
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Country | US
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Telephone | 781-275-6365
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Fax | 781-275-2273
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Authorized Official
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Title or Position | OWNER
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Name | DR. WASSEEM AL ATTAR
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Credential | DMD
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Telephone | 781-275-6365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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