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General NPI Number Information
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NPI Number | 1346960218
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Entity Type | Organization
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Legal Business Name | ALEC J TEMLOCK DENTAL CORPORATION
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 11515 EL CAMINO REAL STE 160
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City | SAN DIEGO
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State | CA
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Zip | 92130-3037
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Country | US
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Telephone | 858-500-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 23911 DANZIG BAY
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City | DANA POINT
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State | CA
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Zip | 92629-4407
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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 | DIRECTOR
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Name | PATRICIA SMITH
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Credential |
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Telephone | 775-762-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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