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General NPI Number Information
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NPI Number | 1093692881
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Entity Type | Organization
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Legal Business Name | LMO PERIOIMPLANTS LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 43 CALLE BALDORIOTY
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City | COAMO
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State | PR
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Zip | 00769-3120
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Country | US
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Telephone | 787-634-4237
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 6092
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City | COAMO
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State | PR
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Zip | 00769-9663
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Country | US
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Telephone | 787-634-4237
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS MARTINEZ ORTIZ
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Credential | DMD
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Telephone | 787-634-4237
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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 |
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