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General NPI Number Information
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NPI Number | 1356749840
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Entity Type | Individual
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Provider Name | SANTO PINALES DDS
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Gender | Male
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 1217 E 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-2640
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Country | US
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Telephone | 714-550-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 17628 ROSA DREW LN APT 35D
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City | IRVINE
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State | CA
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Zip | 92612-2947
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Country | US
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Telephone | 949-438-9493
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 64241
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License Number State | CA
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