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General NPI Number Information
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NPI Number | 1093269391
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Entity Type | Organization
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Legal Business Name | SOLAR DENTAL SPECIALTIES
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 19621 SOLAR CIR SUITE 201
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City | PARKER
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State | CO
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Zip | 80134-7323
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Country | US
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Telephone | 720-739-1630
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Fax | 720-367-5025
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Provider Business Mailing Address
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Address Line | 19621 SOLAR CIR SUITE 201
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City | PARKER
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State | CO
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Zip | 80134-7323
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Country | US
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Telephone | 720-739-1630
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Fax | 720-367-5025
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Authorized Official
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Title or Position | OWNER
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Name | DR. CINDY THERESA HEBERT
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Credential | D.D.S.
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Telephone | 720-739-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DEN00010705
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License Number State | CO
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