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General NPI Number Information
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NPI Number | 1851980494
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Entity Type | Organization
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Legal Business Name | ANTONIOUS DAWOOD DMD CORP
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 6462 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-3601
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Country | US
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Telephone | 714-898-8728
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Fax | 714-898-8729
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Provider Business Mailing Address
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Address Line | 6462 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-3601
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Country | US
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Telephone | 714-898-8728
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Fax | 714-898-8729
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANTONIOUS DAWOOD
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Credential | DMD
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Telephone | 714-709-5688
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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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