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General NPI Number Information
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NPI Number | 1003701905
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Entity Type | Organization
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Legal Business Name | 3D DENTAL SMILE PLLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD STE 204A
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City | BOCA RATON
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State | FL
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Zip | 33433-3403
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Country | US
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Telephone | 561-961-0535
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Fax | 561-961-0616
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Provider Business Mailing Address
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Address Line | 1341 W ROYAL PALM RD
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City | BOCA RATON
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State | FL
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Zip | 33486-4417
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Country | US
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Telephone | 561-961-0535
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Fax | 561-961-0616
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Authorized Official
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Title or Position | GENERAL DENTIST/OWNER
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Name | DR. HECTOR NEGRIN ESTEVEZ
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Credential | DMD
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Telephone | 502-953-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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