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General NPI Number Information
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NPI Number | 1134010739
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Entity Type | Organization
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Legal Business Name | GARDENS IMPLANT AND COSMETIC DENTISTRY PLLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3375 BURNS RD STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4361
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Country | US
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Telephone | 561-691-1629
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 BURNS RD STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4361
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Country | US
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Telephone | 561-691-1629
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | HANS ALMANZAR
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Credential | DDS
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Telephone | 404-702-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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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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