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General NPI Number Information
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NPI Number | 1356221105
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Entity Type | Organization
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Legal Business Name | EMAS DENTAL SPA, CORP, DBA SMILES BY GRACE
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7205 CURRY FORD RD STE 4
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City | ORLANDO
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State | FL
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Zip | 32822-5888
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Country | US
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Telephone | 407-275-8800
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Fax | 407-275-9110
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Provider Business Mailing Address
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Address Line | 7205 CURRY FORD RD STE 4
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City | ORLANDO
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State | FL
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Zip | 32822-5888
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Country | US
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Telephone | 407-275-8800
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Fax | 407-275-9110
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | GRACIELA DUCASSE
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Credential | DMD
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Telephone | 407-492-9184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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