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General NPI Number Information
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NPI Number | 1902631575
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Entity Type | Organization
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Legal Business Name | MUNAF GASTONIA DMD PLLC
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 2641 COURT DR STE A
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City | GASTONIA
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State | NC
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Zip | 28054-1478
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Country | US
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Telephone | 704-313-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 OLD MONROE RD STE C
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5308
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Country | US
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Telephone | 704-313-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZOHAIB MUNAF
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Credential | DMD
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Telephone | 813-597-5944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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