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General NPI Number Information
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NPI Number | 1003981564
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Entity Type | Organization
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Legal Business Name | DEL MAR DENTAL CARE P.C.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 551 GLOVER AVE
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City | ENTERPRISE
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State | AL
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Zip | 36330-2041
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Country | US
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Telephone | 970-218-2187
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Fax | 334-347-1101
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Provider Business Mailing Address
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Address Line | 551 GLOVER AVE
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City | ENTERPRISE
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State | AL
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Zip | 36330-2041
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Country | US
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Telephone | 970-218-2187
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Fax | 334-347-1101
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Authorized Official
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Title or Position | OWNER
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Name | DR. H. ARTHUR MISSIRLIAN
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Credential | D.D.S.
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Telephone | 970-218-2187
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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 | 6161
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License Number State | AL
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