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NPI Code Detail

MEDICARE: DR. NUMAIR KAZMI D.D.S.

MEDICARE: DR. NUMAIR KAZMI D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30136TX

General Provider Information

NPI Number : 1417350117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NUMAIR KAZMI D.D.S.
Provider Business Mailing Address
First Line : 3300 E BROAD ST
Second Line : SUITE 120
City : MANSFIELD
State : TX
Zip : 76063-5629
Country : US
Telephone Number : 682-518-5856
Fax Number : 682-518-1532
Provider Business Practice Location Address
First Line : 3300 E BROAD ST
Second Line : SUITE 120
City : MANSFIELD
State : TX
Zip : 76063-5629
Country : US
Telephone Number : 682-518-5856
Fax Number : 682-518-1532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2014
Last Update Date : 10/08/2014

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