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General NPI Number Information
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NPI Number | 1033069992
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Entity Type | Organization
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Legal Business Name | PETER MULLER DENTAL CORP.
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1114 W VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-2559
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Country | US
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Telephone | 858-260-0628
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Fax |
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Provider Business Mailing Address
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Address Line | 31915 RANCHO CALIFORNIA RD STE 200-260
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City | TEMECULA
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State | CA
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Zip | 92591-5132
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Country | US
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Telephone | 858-260-0628
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIMOTHY VANDECAR
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Credential |
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Telephone | 858-260-0628
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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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