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General NPI Number Information
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NPI Number | 1992336093
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Entity Type | Organization
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Legal Business Name | AL SAAD DENTAL LLC
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 7250 CENTER ST STE C
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City | MENTOR
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State | OH
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Zip | 44060-4920
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Country | US
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Telephone | 440-454-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 32628 ALBION DR
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City | AVON LAKE
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State | OH
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Zip | 44012-3403
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Country | US
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Telephone | 440-454-4649
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | AHMAD AL SAAD
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Credential | DDS
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Telephone | 440-454-4649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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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 | 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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