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General NPI Number Information
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NPI Number | 1184358160
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Entity Type | Individual
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Provider Name | DAMARIS IONUT DMD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 39393 VAN DYKE AVE STE 106
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4636
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Country | US
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Telephone | 734-890-2885
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Fax |
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Provider Business Mailing Address
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Address Line | 39393 VAN DYKE AVE STE 106
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4636
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Country | US
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Telephone | 586-983-8015
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Fax | 586-983-8018
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2901601309
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License Number State | MI
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