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General NPI Number Information
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NPI Number | 1245718741
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Entity Type | Organization
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Legal Business Name | ROSA M. ESTRADA DDS, INC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 275 W LAUREL DR
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City | SALINAS
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State | CA
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Zip | 93906-3460
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Country | US
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Telephone | 831-206-9858
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Fax |
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Provider Business Mailing Address
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Address Line | 10803 ASSISI WAY
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City | SALINAS
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State | CA
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Zip | 93907-1601
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Country | US
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Telephone | 831-206-9858
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ROSA MARIA ESTRADA
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Credential | DDS
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Telephone | 831-206-9858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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