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NPI 1194671982

NPI 1194671982 : CRISTIANE BONANATO ESTRELA : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1194671982
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    Entity Type          |    Individual 
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    Provider Name        |    CRISTIANE BONANATO ESTRELA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/05/2026
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    Last Update Date     |    03/05/2026
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Provider Practice Location Address
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    Address Line         |    2002 PISGAH CHURCH RD STE 101 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27455-3308
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    Country              |    US
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    Telephone            |    336-271-7900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1634 N MAIN ST 
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27262-2607
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    Country              |    US
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    Telephone            |    336-841-2667
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    Fax                  |    336-734-2611
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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        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    0308
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    License Number State |    NC
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