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NPI 1063931152

NPI 1063931152 : SAINI SMILES, PLC : SUN CITY WEST, AZ

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General NPI Number Information
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    NPI Number           |    1063931152
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAINI SMILES, PLC 
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Dates
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    Enumeration Date     |    09/11/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    13603 W CAMINO DEL SOL STE C 
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    City                 |    SUN CITY WEST
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    State                |    AZ
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    Zip                  |    85375-4483
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    Country              |    US
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    Telephone            |    623-584-2288
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    Fax                  |    623-214-1817
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Provider Business Mailing Address
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    Address Line         |    13603 W CAMINO DEL SOL STE C 
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    City                 |    SUN CITY WEST
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    State                |    AZ
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    Zip                  |    85375-4483
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    Country              |    US
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    Telephone            |    623-584-2288
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    Fax                  |    623-214-1817
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SANTOSH K SAINI 
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    Credential           |    DDS
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    Telephone            |    623-584-2288
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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 |    AZ
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