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General NPI Number Information
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NPI Number | 1245569920
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Entity Type | Organization
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Legal Business Name | P3 DENTAL - WELEBIR PC
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 410 S. RAMPART BLVD., SUITE 360
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City | LAS VEGAS
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State | NV
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Zip | 89145
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Country | US
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Telephone | 702-228-2218
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Fax | 702-228-7411
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Provider Business Mailing Address
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Address Line | P3 DENTAL - WELEBIR PC 1131 S. CASINO BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89104
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Country | US
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Telephone | 702-228-2218
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Fax | 702-228-7411
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Authorized Official
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Title or Position | SUPERVISOR
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Name | BEATRIZ HERNANDEZ
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Credential |
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Telephone | 714-578-6591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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