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General NPI Number Information
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NPI Number | 1225795917
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Entity Type | Organization
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Legal Business Name | SMYLE DENTURE DESIGN
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 7125 224TH ST SW
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City | EDMONDS
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State | WA
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Zip | 98026-8397
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Country | US
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Telephone | 206-419-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 332 NE 175TH ST
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City | SHORELINE
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State | WA
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Zip | 98155-3518
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Country | US
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Telephone | 206-605-7699
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Fax |
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Authorized Official
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Title or Position | DENTURIST
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Name | HYUN J YOU
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Credential | DPD
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Telephone | 206-419-0969
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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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