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General NPI Number Information
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NPI Number | 1841485471
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Entity Type | Organization
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Legal Business Name | KARIA & MAKADIA DDS A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 275 E 9TH STREET SUITE L
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City | SAN BERNARDINO
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State | CA
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Zip | 92410
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Country | US
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Telephone | 909-381-5555
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Fax | 909-381-5515
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Provider Business Mailing Address
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Address Line | 275 E 9TH STREET SUITE L
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City | SAN BERNARDINO
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State | CA
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Zip | 92410
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Country | US
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Telephone | 909-381-5555
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Fax | 909-381-5515
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Authorized Official
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Title or Position | DR KARIA DDS CO OWNER OF PRACTICE P
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Name | PAUL KARIA
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Credential | DDS
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Telephone | 909-886-8900
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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 | 42688
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License Number State | CA
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