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General NPI Number Information
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NPI Number | 1306672217
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Entity Type | Organization
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Legal Business Name | CHARM SMILE DENTAL
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 54 SOUTH ST
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City | CONCORD
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State | NH
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Zip | 03301-3667
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Country | US
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Telephone | 215-530-5111
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Fax | 603-228-0124
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Provider Business Mailing Address
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Address Line | 54 SOUTH ST
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City | CONCORD
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State | NH
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Zip | 03301-3667
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Country | US
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Telephone | 603-228-0123
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Fax | 603-228-0124
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Authorized Official
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Title or Position | OWNER
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Name | MAHMOUD HOMSI
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Credential | DMD
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Telephone | 215-530-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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