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General NPI Number Information
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NPI Number | 1962827311
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Entity Type | Organization
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Legal Business Name | MOURADIAN DENTAL CENTER, D.D.S., P.C.
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 32500 MOUND RD. MOURADIAN DENTAL CENTER, D.D.S., P.C.
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City | WARREN
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State | MI
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Zip | 48092
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Country | US
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Telephone | 586-939-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 32500 MOUND RD. MOURADIAN DENTAL CENTER, D.D.S., P.C.
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City | WARREN
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State | MI
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Zip | 48092
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Country | US
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Telephone | 586-939-3000
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT.
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Name | DR. SAAD JOHN MURAD
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Credential | D.D.S.
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Telephone | 586-939-3000
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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 | MI016371
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License Number State | MI
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