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General NPI Number Information
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NPI Number | 1063215853
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Entity Type | Organization
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Legal Business Name | DALIA S POURATI DDS. INC.
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 13320 RIVERSIDE DR STE 110
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2519
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Country | US
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Telephone | 310-200-2644
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Fax |
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Provider Business Mailing Address
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Address Line | 361 S CRESCENT DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4502
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Country | US
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Telephone | 310-200-2644
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DALIA PPURATI
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Credential | DDS
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Telephone | 310-200-2644
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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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