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General NPI Number Information
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NPI Number | 1881965218
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Entity Type | Organization
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Legal Business Name | ANNA DENTAL PLLC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 6370 N ELDRIDGE PKWY SUITE B
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City | HOUSTON
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State | TX
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Zip | 77041-3516
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Country | US
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Telephone | 713-983-0099
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Fax | 713-983-0071
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Provider Business Mailing Address
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Address Line | 6370 N ELDRIDGE PKWY SUITE B
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City | HOUSTON
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State | TX
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Zip | 77041-3516
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Country | US
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Telephone | 713-983-0099
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Fax | 713-983-0071
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALI SAAM SAJADI
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Credential | DDS
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Telephone | 713-983-0099
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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 | 20236
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28219
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License Number State | TX
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