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General NPI Number Information
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NPI Number | 1144646696
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Entity Type | Organization
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Legal Business Name | ERLINDA DE JOYA ROSENTHAL, D.M.D., A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 13760 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3840
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Country | US
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Telephone | 818-893-9222
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Fax | 818-893-9220
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Provider Business Mailing Address
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Address Line | 13760 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3840
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Country | US
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Telephone | 818-893-9222
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Fax | 818-893-9220
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHAEL BERNARD ROSENTHAL
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Credential |
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Telephone | 818-893-9222
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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 | 36912
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License Number State | CA
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