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General NPI Number Information
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NPI Number | 1316038987
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Entity Type | Organization
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Legal Business Name | GABRIEL SLAVESCU DDS
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 1749 NE 26TH STREET SUITE B
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City | WITLON MANORS
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State | FL
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Zip | 33305-2039
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Country | US
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Telephone | 954-247-8784
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Fax | 954-247-8784
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Provider Business Mailing Address
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Address Line | 1749 NE 26TH ST SUITE B
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City | WILTON MANORS
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State | FL
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Zip | 33305-1428
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Country | US
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Telephone | 954-247-8784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL SLAVESCU
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Credential | DDS
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Telephone | 954-247-8784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN0014946
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License Number State | FL
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