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General NPI Number Information
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NPI Number | 1104112267
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Entity Type | Organization
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Legal Business Name | DYNAMIC DENTAL SERVICES
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 2121 6TH AVE
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City | TROY
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State | NY
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Zip | 12180-2849
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Country | US
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Telephone | 518-274-6741
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Fax | 518-274-6748
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Provider Business Mailing Address
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Address Line | 2121 6TH AVE
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City | TROY
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State | NY
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Zip | 12180-2849
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Country | US
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Telephone | 518-274-6741
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Fax | 518-274-6748
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRENDA YVONNE PORTER
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Credential | DDS
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Telephone | 518-274-6741
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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 | 04449-1
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License Number State | NY
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