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General NPI Number Information
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NPI Number | 1316803521
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Entity Type | Organization
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Legal Business Name | DENTISTS OF SMOKE TREE, INC
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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 | 2465 E PALM CANYON DR STE 605
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City | PALM SPRINGS
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State | CA
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Zip | 92264-7003
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Country | US
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Telephone | 760-483-9435
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Fax | 760-459-5488
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Provider Business Mailing Address
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Address Line | PO BOX 660041
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City | DALLAS
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State | TX
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Zip | 75266-0041
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Country | US
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Telephone | 714-845-8701
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Fax | 303-952-0892
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Authorized Official
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Title or Position | OWNER
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Name | SCARLETT ANAI MINEO ESCARENO
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Credential | DDS
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Telephone | 760-483-9435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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