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General NPI Number Information
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NPI Number | 1356526750
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL SMILE FAMILY DENTISTRY
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 13637 HAWTHORNE BLVD SUITE 101
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City | HAWTHORNE
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State | CA
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Zip | 90250-5812
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Country | US
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Telephone | 310-644-2310
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Fax | 310-644-2538
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Provider Business Mailing Address
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Address Line | 13637 HAWTHORNE BLVD SUITE 101
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City | HAWTHORNE
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State | CA
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Zip | 90250-5812
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Country | US
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Telephone | 310-644-2310
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Fax | 310-644-2538
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Authorized Official
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Title or Position | DENTIST / PRESIDENT
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Name | DR. BEHDAD OMRANI
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Credential | D.D.S.
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Telephone | 310-644-2310
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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 | 52443
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License Number State | CA
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