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General NPI Number Information
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NPI Number | 1245774033
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Entity Type | Organization
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Legal Business Name | ART FAMILY DENTISTRY, INC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 951 SANSBURYS WAY SUITE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-3619
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Country | US
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Telephone | 561-660-8101
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Fax | 561-660-8103
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Provider Business Mailing Address
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Address Line | 951 SANSBURYS WAY SUITE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-3619
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Country | US
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Telephone | 561-660-8101
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Fax | 561-660-8103
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Authorized Official
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Title or Position | DENTIST
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Name | IDALMIS RAMOS-ABELENDA
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Credential |
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Telephone | 561-660-8101
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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 | DN17929
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License Number State | FL
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