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General NPI Number Information
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NPI Number | 1952037293
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Entity Type | Organization
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Legal Business Name | PARKWEST DENTAL
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 36700 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-3770
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Country | US
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Telephone | 734-326-0000
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Fax | 734-326-0002
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Provider Business Mailing Address
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Address Line | 36700 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-3770
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Country | US
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Telephone | 734-326-0000
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RODWIN M SAAD
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Credential | DDS
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Telephone | 734-326-0000
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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 |
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License Number State |
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