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NPI 1346352093

NPI 1346352093 : VILLAMAR & MARIN ROJAS DDS PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1346352093
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    Entity Type          |    Organization 
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    Legal Business Name  |    VILLAMAR & MARIN ROJAS DDS PC 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    24 E 12TH STREET SUITE 301
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003
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    Country              |    US
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    Telephone            |    212-255-6633
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    Fax                  |    212-255-7177
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Provider Business Mailing Address
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    Address Line         |    24 E 12TH STREET SUITE 301
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10003
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    Country              |    US
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    Telephone            |    212-255-6633
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    Fax                  |    212-255-7177
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Authorized Official
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    Title or Position    |    VICE PRESIDENT CO OWNER
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    Name                 |     NANCY  MARIN ROJAS 
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    Credential           |    DDS
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    Telephone            |    212-255-6633
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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 |    NY
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