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General NPI Number Information
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NPI Number | 1013112788
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Entity Type | Organization
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Legal Business Name | ALLURE DENTAL CENTER
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 570 N SHORELINE BLVD STE G
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-3106
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Country | US
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Telephone | 650-988-9998
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Fax | 650-988-7095
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Provider Business Mailing Address
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Address Line | 570 N SHORELINE BLVD STE G
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-3106
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Country | US
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Telephone | 650-988-9998
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Fax | 650-988-7095
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Authorized Official
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Title or Position | OWNER DDS
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Name | SUZANNA N LEE
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Credential | DDS
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Telephone | 650-988-9998
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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 |
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License Number State |
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