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General NPI Number Information
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NPI Number | 1427960194
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Entity Type | Organization
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Legal Business Name | DENTAI SMILE PLLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 747 MAIN ST STE 201
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City | CONCORD
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State | MA
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Zip | 01742-3327
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Country | US
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Telephone | 978-678-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 147 HIGH ST
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City | ACTON
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State | MA
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Zip | 01720-4217
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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 | OWNER
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Name | RUOXI DAI
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Credential |
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Telephone | 978-678-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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