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General NPI Number Information
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NPI Number | 1255184537
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Entity Type | Organization
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Legal Business Name | LITTLE SPARKLE DENTAL LLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1 CURTISS PARKWAY SUITE #14
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166
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Country | US
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Telephone | 305-590-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 ORIOLE AVE
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-3848
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Country | US
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Telephone | 305-300-7360
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. YOHANNA HERNANDEZ
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Credential | DMD
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Telephone | 305-300-7360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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