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General NPI Number Information
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NPI Number | 1205468071
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Entity Type | Organization
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Legal Business Name | SUZET MONTES DE OCA, DMD, PLLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1738 SWEETWATER WEST CIR
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City | APOPKA
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State | FL
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Zip | 32712-2485
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Country | US
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Telephone | 786-624-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 SWEETWATER WEST CIR
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City | APOPKA
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State | FL
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Zip | 32712-2485
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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 | MANAGER
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Name | DR. SUZET DEL CARMEN MONTES DE OCA CALAS
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Credential | DMD
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Telephone | 786-624-7095
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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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