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General NPI Number Information
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NPI Number | 1346461209
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Entity Type | Organization
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Legal Business Name | DAVE F. PROIETTI,DDS, P.C.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2558 F RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1422
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Country | US
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Telephone | 970-245-2826
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Fax | 970-245-3302
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Provider Business Mailing Address
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Address Line | 2558 F RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1422
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Country | US
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Telephone | 970-245-2826
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Fax | 970-245-3302
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVE F PROIETTI
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Credential | DDS
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Telephone | 970-245-2826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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