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General NPI Number Information
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NPI Number | 1215821822
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Entity Type | Organization
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Legal Business Name | PAULA IZVERNARI DDS INC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 8660 CENTRAL AVE STE A
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City | MONTCLAIR
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State | CA
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Zip | 91763-1692
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Country | US
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Telephone | 909-920-0696
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Fax |
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Provider Business Mailing Address
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Address Line | 8660 CENTRAL AVE STE A
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City | MONTCLAIR
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State | CA
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Zip | 91763-1692
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Country | US
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Telephone | 909-920-0696
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. PAULA M IZVERNARI
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Credential | DDS
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Telephone | 909-723-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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