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General NPI Number Information
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NPI Number | 1932994852
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Entity Type | Organization
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Legal Business Name | YAZBECK DENTAL STUDIO PLLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 461 FAUNCE CORNER RD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-1437
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Country | US
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Telephone | 508-717-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 461 FAUNCE CORNER RD STE 3
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-1438
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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
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Name | VIVIANNE KHALIFE-YAZBECK
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Credential | DDS
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Telephone | 508-717-0554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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