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General NPI Number Information
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NPI Number | 1275774150
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Entity Type | Organization
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Legal Business Name | ALL ABOUT SMILES LLC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 32 MAIN ST WATERSIDE OFFICE PARK
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-2326
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Country | US
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Telephone | 860-623-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 32 MAIN ST WATERSIDE OFFICE PARK
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-2326
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Country | US
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Telephone | 860-623-3244
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER LLC
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Name | DR. SONALIKA RUNGTA
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Credential | DMD
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Telephone | 860-623-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19866
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License Number State | MA
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