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General NPI Number Information
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NPI Number | 1225849839
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Entity Type | Organization
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Legal Business Name | SMILE TO SMILES, L.C.A.
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 8464 S BINGHAM VIEW DR
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City | WEST JORDAN
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State | UT
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Zip | 84088-5900
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Country | US
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Telephone | 801-759-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 8464 S BINGHAM VIEW DR
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City | WEST JORDAN
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State | UT
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Zip | 84088-5900
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Country | US
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Telephone | 801-759-7728
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | APRIL ZAMBRANO
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Credential | RDH
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Telephone | 801-759-7728
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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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