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General NPI Number Information
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NPI Number | 1144352048
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Entity Type | Organization
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Legal Business Name | MAX'S DENTAL
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3207 NORTH STATE ROAD 7. SUITE #24
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City | MARGATE
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State | FL
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Zip | 33063-7008
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Country | US
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Telephone | 954-979-1357
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Fax | 954-979-0763
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Provider Business Mailing Address
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Address Line | 3207 NORTH STATE ROAD 7. SUITE #24
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City | MARGATE
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State | FL
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Zip | 33063-7008
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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 | PRESIDENT
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Name | DR. HILDEBRANDO BARRETO
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Credential |
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Telephone | 954-979-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13886
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17684
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN12654
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License Number State | FL
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