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General NPI Number Information
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NPI Number | 1114879129
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Entity Type | Organization
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Legal Business Name | RAD DENTAL LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 811 SUNSET RD STE 105
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City | BURLINGTON
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State | NJ
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Zip | 08016-3645
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Country | US
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Telephone | 609-479-3757
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Fax | 609-526-4122
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Provider Business Mailing Address
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Address Line | 811 SUNSET RD STE 105
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City | BURLINGTON
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State | NJ
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Zip | 08016-3645
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Country | US
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Telephone | 609-479-3757
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Fax | 609-526-4122
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL DORFNER
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Credential | DMD
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Telephone | 609-479-3757
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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 |
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License Number State |
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