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General NPI Number Information
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NPI Number | 1174319644
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Entity Type | Organization
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Legal Business Name | GOLDEN SMILES, P.A.
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 5558 S FLAMINGO RD
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City | COOPER CITY
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State | FL
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Zip | 33330-2700
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Country | US
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Telephone | 305-772-7283
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Fax |
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Provider Business Mailing Address
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Address Line | 5558 S FLAMINGO RD
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City | COOPER CITY
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State | FL
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Zip | 33330-2700
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Country | US
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Telephone | 305-772-7283
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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. OSURI YAU
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Credential | DDS, MSD
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Telephone | 305-772-7283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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