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General NPI Number Information
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NPI Number | 1114235785
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Entity Type | Organization
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Legal Business Name | GEORGE PETRESCU-BOBOC DDS PLLC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 2 CAMPBELL ST
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City | LEBANON
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State | NH
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Zip | 03766-1304
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Country | US
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Telephone | 603-448-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CAMPBELL ST
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City | LEBANON
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State | NH
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Zip | 03766-1304
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Country | US
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Telephone | 603-448-4200
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MR. GEORGE PETRESCU-BOBOC
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Credential | DDS
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Telephone | 603-448-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 03554
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License Number State | NH
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