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General NPI Number Information
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NPI Number | 1104622034
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Entity Type | Organization
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Legal Business Name | VHM DENTAL LLC/DBA PROSMILE PV
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 11220 N TATUM BLVD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85028-1629
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Country | US
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Telephone | 480-878-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 11220 N TATUM BLVD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85028-1629
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Country | US
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Telephone | 480-878-0318
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Fax |
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Authorized Official
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Title or Position | DR./OWNER
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Name | DR. AMOGH VELANGI
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Credential | MD
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Telephone | 917-494-3850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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