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General NPI Number Information
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NPI Number | 1437028404
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Entity Type | Organization
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Legal Business Name | ELLA DEKHTYAR DDS PA
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 14771 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1217
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Country | US
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Telephone | 305-816-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 3144 EMMONS AVE APT 108
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City | BROOKLYN
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State | NY
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Zip | 11235-1784
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Country | US
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Telephone | 347-267-8626
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLA DEKHTYAR
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Credential | DDS
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Telephone | 347-267-8626
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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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