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General NPI Number Information
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NPI Number | 1356713424
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Entity Type | Organization
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Legal Business Name | ALL SMILES DENTAL, PLLC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 1025 SENECA RD SUITE B
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City | GREAT FALLS
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State | VA
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Zip | 22066-1365
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Country | US
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Telephone | 571-306-7676
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Fax | 703-376-8671
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Provider Business Mailing Address
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Address Line | 1025 SENECA RD SUITE B
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City | GREAT FALLS
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State | VA
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Zip | 22066-1365
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Country | US
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Telephone | 571-306-7676
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Fax | 703-376-8671
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS MELODY YOK
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Credential |
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Telephone | 571-306-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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