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General NPI Number Information
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NPI Number | 1134824642
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Entity Type | Individual
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Provider Name | DANIEL EMEEL GHOBRIAL DDS
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Gender | Male
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 628 W HOLT BLVD STE C
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City | ONTARIO
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State | CA
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Zip | 91762-3710
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Country | US
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Telephone | 909-986-6424
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Fax |
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Provider Business Mailing Address
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Address Line | 413 E DEERFIELD ST
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City | ONTARIO
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State | CA
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Zip | 91761-8742
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Country | US
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Telephone | 909-731-4578
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 108426
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License Number State | CA
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