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General NPI Number Information
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NPI Number | 1306702584
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Entity Type | Organization
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Legal Business Name | ALL DENTAL STARS LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 809 E OAK ST STE 101
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City | KISSIMMEE
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State | FL
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Zip | 34744-5834
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Country | US
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Telephone | 407-729-6746
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Fax |
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Provider Business Mailing Address
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Address Line | 809 E OAK ST STE 101
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City | KISSIMMEE
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State | FL
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Zip | 34744-5834
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Country | US
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Telephone | 407-729-6746
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Fax |
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Authorized Official
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Title or Position | DENTIST AND MANAGER
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Name | ALLA BIZANTI
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Credential | DDS
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Telephone | 407-729-6746
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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 |
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License Number State |
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