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General NPI Number Information
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NPI Number | 1235926817
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Entity Type | Organization
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Legal Business Name | ROYAL DENTAL SPA
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 24 E CROSSVILLE RD STE 140
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City | ROSWELL
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State | GA
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Zip | 30075-7683
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Country | US
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Telephone | 678-878-2801
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Fax | 678-878-2888
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Provider Business Mailing Address
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Address Line | 24 E CROSSVILLE RD STE 140
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City | ROSWELL
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State | GA
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Zip | 30075-7683
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Country | US
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Telephone | 678-878-2801
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Fax | 678-878-2888
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. SAMY SAMAAN
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Credential | DDS
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Telephone | 678-878-2801
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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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