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General NPI Number Information
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NPI Number | 1295651859
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Entity Type | Organization
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Legal Business Name | ALIGN PEDIATRIC DENTAL LLC
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 21 BAY STATE RD UNIT B
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City | BOSTON
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State | MA
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Zip | 02215-2138
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Country | US
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Telephone | 617-203-7382
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Fax |
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Provider Business Mailing Address
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Address Line | 909 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02170-3827
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Country | US
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Telephone | 617-203-7382
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YONG DING
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Credential | DMD
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Telephone | 508-361-9589
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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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