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General NPI Number Information
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NPI Number | 1174767263
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Entity Type | Organization
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Legal Business Name | DENNIS SALAPACK DDS INC.
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 7065 WALES AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-6334
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Country | US
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Telephone | 330-449-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 7065 WALES AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-6334
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Country | US
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Telephone | 330-449-6300
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. DENNIS SALAPACK
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Credential |
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Telephone | 330-499-6300
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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 | 14466
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License Number State | OH
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