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General NPI Number Information
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NPI Number | 1205160926
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Entity Type | Organization
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Legal Business Name | 3D DENTAL IMAGING, INC.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 10640 GRIFFIN RD SUITE 101
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City | DAVIE
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State | FL
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Zip | 33328-3214
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Country | US
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Telephone | 954-252-1343
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Fax |
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Provider Business Mailing Address
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Address Line | 10640 GRIFFIN RD SUITE 101
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City | DAVIE
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State | FL
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Zip | 33328-3214
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Country | US
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Telephone | 954-252-1343
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LLOYD E. BEAUFILS
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Credential | DDS, MPH
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Telephone | 954-252-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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