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General NPI Number Information
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NPI Number | 1346583069
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Entity Type | Organization
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Legal Business Name | Z.E.S CUISIA DDS INC. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 10717 CAMINO RUIZ 103
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City | SAN DIEGO
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State | CA
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Zip | 92126-2360
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Country | US
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Telephone | 858-536-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 10717 CAMINO RUIZ 103
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City | SAN DIEGO
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State | CA
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Zip | 92126-2360
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Country | US
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Telephone | 858-536-1111
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | ZENAIDA ELVIRA SILVIA CUISIA
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Credential | D.M.D
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Telephone | 858-536-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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