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General NPI Number Information
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NPI Number | 1174415319
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Entity Type | Organization
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Legal Business Name | QUALITY DENTISTRY OF COCONUT CREEK PA
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD STE 204
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 585-978-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 8332 NW 7TH CT
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City | BOCA RATON
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State | FL
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Zip | 33487-1364
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Country | US
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Telephone | 585-978-4040
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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. GEORGE SIFAIN
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Credential | DMD
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Telephone | 585-978-4040
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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 |
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License Number State |
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