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General NPI Number Information
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NPI Number | 1275348203
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Entity Type | Individual
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Provider Name | DANIEL KOBRIC BSC, DMD, MSC
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Gender | Male
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3435 MAIN STREET 250 SQUIRE HALL
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-829-3845
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Fax |
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Provider Business Mailing Address
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Address Line | 119 LISA CRES
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City | THORNHILL
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State | ONTARIO
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Zip | L4J 2N2
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Country | CA
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 064380
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License Number State | NY
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