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General NPI Number Information
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NPI Number | 1326925512
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Entity Type | Organization
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Legal Business Name | ALL ABOUT SMILES TAMPA PC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 148 WHITAKER RD
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City | LUTZ
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State | FL
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Zip | 33549-7611
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Country | US
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Telephone | 813-949-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 37661 NEWBURGH PARK CIR
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City | LIVONIA
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State | MI
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Zip | 48152-1370
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARC SALAH
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Credential | DDS
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Telephone | 248-417-9955
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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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