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General NPI Number Information
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NPI Number | 1063739720
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Entity Type | Organization
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Legal Business Name | SILVER DENTAL ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 1816 MOUNT HOLLY RD SUITE 101
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City | BURLINGTON
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State | NJ
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Zip | 08016-4718
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Country | US
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Telephone | 609-387-1844
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 MOUNT HOLLY RD SUITE 101
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City | BURLINGTON
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State | NJ
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Zip | 08016-4718
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Country | US
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Telephone | 609-387-1844
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BRUCE L SILVER
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Credential | D.M.D.
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Telephone | 609-387-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI16823
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License Number State | NJ
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