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General NPI Number Information
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NPI Number | 1245983998
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Entity Type | Organization
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Legal Business Name | DENTAL CARE AND DENTAL IMPLANT CENTER LIMITED
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 7700 CRITTENDEN ST STE 33A
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City | PHILADELPHIA
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State | PA
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Zip | 19118-4421
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Country | US
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Telephone | 215-242-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 CRITTENDEN ST STE 33A
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City | PHILADELPHIA
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State | PA
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Zip | 19118-4421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | EDWARD D WILLIAMS
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Credential | DMD
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Telephone | 215-242-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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