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General NPI Number Information
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NPI Number | 1184430357
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Entity Type | Organization
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Legal Business Name | NEW DAWN DENTAL
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1331 S INTERNATIONAL PKWY STE 2271
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City | LAKE MARY
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State | FL
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Zip | 32746-1405
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Country | US
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Telephone | 407-804-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 14030 ALAFAYA OAK BND
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City | ORLANDO
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State | FL
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Zip | 32828-9110
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MARIANA AL NASSER
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Credential |
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Telephone | 321-460-2403
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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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