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General NPI Number Information
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NPI Number | 1073327086
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Entity Type | Organization
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Legal Business Name | BEAUTY DENTAL CARE LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3607 PARK AVE UNIT C
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City | UNION CITY
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State | NJ
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Zip | 07087-6031
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Country | US
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Telephone | 201-430-4054
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Fax | 201-430-5043
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Provider Business Mailing Address
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Address Line | 3607 PARK AVE UNIT C
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City | UNION CITY
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State | NJ
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Zip | 07087-6031
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Country | US
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Telephone | 201-430-4054
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Fax | 201-430-5043
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MARINA ISAAC
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Credential | DMD
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Telephone | 201-430-4054
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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 |
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License Number State |
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