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General NPI Number Information
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NPI Number | 1922580810
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Entity Type | Organization
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Legal Business Name | N. OZDER DENTAL PRACTICE INC.
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 9349 FOOTHILL BLVD STE B
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3567
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Country | US
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Telephone | 909-980-6363
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Fax | 909-481-5675
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Provider Business Mailing Address
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Address Line | 1530 E GOLDEN VALLEY WAY
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City | FRESNO
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State | CA
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Zip | 93730-3587
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Country | US
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Telephone | 661-202-0454
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Fax | 559-475-0389
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Authorized Official
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Title or Position | OWNER
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Name | NECDET OZDER
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Credential | DDS
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Telephone | 661-202-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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