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General NPI Number Information
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NPI Number | 1205642154
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Entity Type | Organization
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Legal Business Name | VIVA SMILES DENTAL, PLLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 13301 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-2400
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Country | US
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Telephone | 813-968-1373
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Fax | 813-960-3560
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Provider Business Mailing Address
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Address Line | 16919 MELISSA ANN DR
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City | LUTZ
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State | FL
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Zip | 33558-8051
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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. ALEXANDRA ARIAS
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Credential | DMD
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Telephone | 954-319-2165
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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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