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General NPI Number Information
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NPI Number | 1144099607
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Entity Type | Organization
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Legal Business Name | T3 DENTAL SOLUTIONS
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 6273 MISSION ST STE 200
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City | DALY CITY
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State | CA
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Zip | 94014-2045
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Country | US
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Telephone | 415-815-6525
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 197
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City | MILLBRAE
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State | CA
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Zip | 94030-0197
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Country | US
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Telephone | 510-634-2432
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOJOAQUIN TE III
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Credential | OFFICE MANAGER
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Telephone | 510-634-2432
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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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