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General NPI Number Information
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NPI Number | 1225466774
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Entity Type | Organization
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Legal Business Name | DENTEX SMILE STUDIO PA
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Dates
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Enumeration Date | 10/19/2013
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 2 FRANKLIN PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5305
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Country | US
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Telephone | 973-500-2555
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Fax | 973-500-6007
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Provider Business Mailing Address
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Address Line | 2 FRANKLIN PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5305
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Country | US
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Telephone | 973-500-2555
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Fax | 973-500-6007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EWA AWAD
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Credential | D.D.S.
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Telephone | 973-500-2555
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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 | 22DI02379100
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License Number State | NJ
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