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General NPI Number Information
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NPI Number | 1144035064
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Entity Type | Organization
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Legal Business Name | PRISTINE DENTAL AND ORTHODONTICS LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6 MUNICIPAL DR
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City | ARNOLD
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State | MO
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Zip | 63010-1012
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Country | US
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Telephone | 636-296-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MUNICIPAL DR
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City | ARNOLD
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State | MO
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Zip | 63010-1012
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Country | US
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Telephone | 636-296-2055
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Fax |
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Authorized Official
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Title or Position | ORTHDONTIST
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Name | DR. SENTHIL ARUN
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Credential | DMD
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Telephone | 706-288-7538
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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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