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General NPI Number Information
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NPI Number | 1093665549
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Entity Type | Individual
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Provider Name | PABLO JOSE LORVEN ESTRADA DDS
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2480 MISSION ST STE AND331
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2468
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Country | US
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Telephone | 415-692-0273
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Fax |
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Provider Business Mailing Address
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Address Line | 708 LONG BRIDGE ST APT 1511
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2564
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Country | US
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Telephone | 415-712-5129
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 112553
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License Number State | CA
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