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NPI 1023357555

NPI 1023357555 : LILIA LARIN DDS INC : NATIONAL CITY, CA

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General NPI Number Information
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    NPI Number           |    1023357555
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    Entity Type          |    Organization 
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    Legal Business Name  |    LILIA LARIN DDS INC 
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Dates
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    Enumeration Date     |    02/04/2013
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    Last Update Date     |    01/05/2017
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Provider Practice Location Address
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    Address Line         |    202 MILE OF CARS WAY 
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    City                 |    NATIONAL CITY
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    State                |    CA
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    Zip                  |    91950-6605
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    Country              |    US
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    Telephone            |    619-477-1970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    202 MILE OF CARS WAY 
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    City                 |    NATIONAL CITY
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    State                |    CA
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    Zip                  |    91950-6605
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    Country              |    US
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    Telephone            |    619-477-1970
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LILIA  LARIN 
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    Credential           |    DDS
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    Telephone            |    619-477-1970
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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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