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General NPI Number Information
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NPI Number | 1063851772
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Entity Type | Organization
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Legal Business Name | CLAROS DENTAL CARE, PC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 4231 MARKHAM ST SUITE 214
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City | ANNANDALE
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State | VA
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Zip | 22003-3028
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Country | US
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Telephone | 703-272-3943
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Fax | 703-272-7350
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Provider Business Mailing Address
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Address Line | 4231 MARKHAM ST SUITE 214
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City | ANNANDALE
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State | VA
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Zip | 22003-3028
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Country | US
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Telephone | 703-272-3943
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Fax | 703-272-7350
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | DR. CLAUDIA M. CLAROS
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Credential | DDS
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Telephone | 703-272-7350
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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 | 0401413369
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License Number State | VA
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