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General NPI Number Information
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NPI Number | 1164627089
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Entity Type | Organization
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Legal Business Name | U.E.S. DENTAL P.L.L.C.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1485 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10021-1363
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Country | US
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Telephone | 212-535-4199
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Fax | 212-472-9551
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Provider Business Mailing Address
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Address Line | 1485 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10021-1363
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Country | US
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Telephone | 212-535-4199
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Fax | 212-472-9551
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RATNA MONGA
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Credential | D.D.S.
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Telephone | 212-535-4199
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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 | 053273
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License Number State | NY
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