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General NPI Number Information
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NPI Number | 1194615799
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Entity Type | Organization
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Legal Business Name | SMILE TREE DENTAL L.L.C.
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 18461 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1400
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Country | US
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Telephone | 954-433-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 815 CHIMNEY ROCK RD
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City | WESTON
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State | FL
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Zip | 33327-1217
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Country | US
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Telephone | 786-285-7400
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | PAOLA PINEROS
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Credential | D.D.S
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Telephone | 786-285-7400
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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 |
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License Number State |
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