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General NPI Number Information
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NPI Number | 1134056716
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Entity Type | Organization
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Legal Business Name | WEST VALLEY SMILE CO
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 15128 W BELL RD STE 12
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City | SURPRISE
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State | AZ
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Zip | 85374-2451
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Country | US
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Telephone | 623-250-6771
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Fax | 623-250-6773
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Provider Business Mailing Address
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Address Line | 17246 W MEGHAN DR
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City | GOODYEAR
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State | AZ
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Zip | 85338-1799
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | BELEMA NGOZI OGBANGA-FARINAS
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Credential | DMD
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Telephone | 623-698-4493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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