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General NPI Number Information
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NPI Number | 1124291745
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Entity Type | Organization
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Legal Business Name | ALL STAR DENTAL CARE PC
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 46 N FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3811
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Country | US
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Telephone | 516-538-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 46 N FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3811
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Country | US
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Telephone | 516-538-0925
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUZ CUESTAS
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Credential | DDS
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Telephone | 516-538-0925
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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 |
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License Number State |
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