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General NPI Number Information
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NPI Number | 1083744452
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Entity Type | Organization
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Legal Business Name | CIFARELLI, LARIJANI, SUKHANIL DENTAL CORPORATION
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 34080 GOLDEN LANTERN ST STE 201
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City | DANA POINT
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State | CA
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Zip | 92629-2679
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Country | US
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Telephone | 949-661-5664
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Fax | 949-661-7206
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Provider Business Mailing Address
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Address Line | 34080 GOLDEN LANTERN ST STE 201
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City | DANA POINT
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State | CA
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Zip | 92629-2679
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Country | US
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Telephone | 949-661-5664
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Fax | 949-661-7206
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Authorized Official
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Title or Position | DENTIST
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Name | MS. SHIRLEY SUKHANIL
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Credential | DDS
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Telephone | 949-661-5664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CA
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