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General NPI Number Information
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NPI Number | 1033717558
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Entity Type | Organization
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Legal Business Name | DISCOVER SMILES PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 2277 SCIENCE PKWY STE 2
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City | OKEMOS
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State | MI
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Zip | 48864-2551
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Country | US
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Telephone | 517-574-4688
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Fax |
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Provider Business Mailing Address
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Address Line | 2277 SCIENCE PKWY STE 2
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City | OKEMOS
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State | MI
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Zip | 48864-2551
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Country | US
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Telephone | 517-574-4688
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/ OWNER
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Name | NEERRAJAH RAMASWAMI
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Credential | BDS, MS, MPH
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Telephone | 517-281-3954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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