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General NPI Number Information
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NPI Number | 1013756436
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Entity Type | Organization
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Legal Business Name | JULIO DE LOS RIOS DMD PA, DBA PERFECT SMILE DENTISTRY II
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 7593 BOYNTON BEACH BLVD STE 200
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6162
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Country | US
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Telephone | 567-732-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 7593 BOYNTON BEACH BLVD STE 200
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6162
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Country | US
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Telephone | 567-732-3203
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | JULIO DE LOS RIOS
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Credential | DMD
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Telephone | 567-732-3203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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