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General NPI Number Information
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NPI Number | 1932927936
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Entity Type | Organization
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Legal Business Name | TAMARA SARDAR DDS PLLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 3800 BYRON AVE STE 100
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City | BELLINGHAM
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State | WA
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Zip | 98229-2877
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Country | US
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Telephone | 360-389-4784
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 BYRON AVE STE 100
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City | BELLINGHAM
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State | WA
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Zip | 98229-2877
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TAMARA SARDAR AL KARADAGHI
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Credential | DDS
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Telephone | 425-877-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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