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General NPI Number Information
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NPI Number | 1326976713
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Entity Type | Individual
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Provider Name | RAMIRO CANTU III DMD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 7632 S CAMPUS VIEW DR STE 150
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City | WEST JORDAN
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State | UT
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Zip | 84084-5545
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Country | US
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Telephone | 801-282-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 4231 MADERO ST
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-5023
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Country | US
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Telephone | 956-735-8274
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 14280160-9926
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License Number State | UT
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