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General NPI Number Information
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NPI Number | 1437921699
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Entity Type | Organization
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Legal Business Name | DENVILLE DENTISTRY BY DESIGN LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 4 2ND AVE STE 206
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City | DENVILLE
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State | NJ
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Zip | 07834-2748
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Country | US
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Telephone | 873-625-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MARSHALL DR
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City | EDISON
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State | NJ
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Zip | 08817-2910
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Country | US
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Telephone | 845-641-8987
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. GILA MARCIANO
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Credential | DDS
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Telephone | 845-641-8987
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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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