# KZSS TEXAS CAPITAL DENTAL LTD, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Capital Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780968362
- **Authorized official:** DR. FAKERI ZAYED DDS (DENTIST)
- **Authorized official phone:** (512) 569-0274

## Contact information

- **Practice address:** 1015 E BRAKER LN STE 2-3, AUSTIN, TX 78753-3449
- **Practice address phone:** (512) 832-1121
- **Practice address fax:** (877) 833-4825
- **Mailing address:** 1015 E BRAKER LN STE 2-3, AUSTIN, TX 78753-3449
- **Mailing address phone:** (512) 832-1121
- **Mailing address fax:** (877) 833-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21278 | TX | Yes |
| 122300000X | Dentist | 22714 | TX | — |

## Other

- **Enumeration date:** 09/30/2011
- **Last updated:** 10/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326114968 | — | TX |
| 05 | — | 1487871901 | — | TX |