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General NPI Number Information
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NPI Number | 1053676841
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Entity Type | Organization
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Legal Business Name | WORLD DENTAL CARE, CORP
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 1370 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3526
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Country | US
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Telephone | 305-888-1458
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Fax | 786-235-0257
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Provider Business Mailing Address
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Address Line | 1370 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3526
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Country | US
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Telephone | 305-888-1458
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Fax | 786-235-0257
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS ROSA MARIA SOLER
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Credential | D.D.S
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Telephone | 305-888-1458
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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 | DN11884
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License Number State | FL
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