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General NPI Number Information
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NPI Number | 1215823166
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Entity Type | Organization
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Legal Business Name | TINY TOTS DENTAL CARE P.C.
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 37 E 28TH ST RM 800
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City | NEW YORK
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State | NY
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Zip | 10016-7916
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Country | US
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Telephone | 212-381-1612
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Fax |
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Provider Business Mailing Address
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Address Line | 320 E 54TH ST APT 12B
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City | NEW YORK
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State | NY
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Zip | 10022-5031
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Country | US
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Telephone | 954-559-2553
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | MANALI KANITKAR
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Credential | DMD
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Telephone | 954-559-2553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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