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General NPI Number Information
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NPI Number | 1225683170
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Entity Type | Organization
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Legal Business Name | SAENZ DENTAL CENTER CORPORATION
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 8345 S.W. 24 STREET
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City | MIAMI
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State | FL
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Zip | 33155-1138
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Country | US
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Telephone | 305-249-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 9743 NW 30TH ST
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City | DORAL
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State | FL
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Zip | 33172-1081
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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 | PRESIDENT
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Name | DR. ROGER ANTONIO SAENZ
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Credential | DDS
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Telephone | 305-898-9228
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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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