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General NPI Number Information
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NPI Number | 1437949310
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Entity Type | Organization
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Legal Business Name | PEDIATRIC DENTAL & ORTHODONTICS SPECIALISTS, PA
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 12010 HIALEAH GARDENS BLVD UNIT 1
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City | HIALEAH
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State | FL
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Zip | 33018-4317
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Country | US
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Telephone | 305-224-6766
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Fax |
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Provider Business Mailing Address
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Address Line | 12010 HIALEAH GARDENS BLVD UNIT 1
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City | HIALEAH
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State | FL
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Zip | 33018-4317
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Country | US
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Telephone | 305-224-6766
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ANAHI A GARCIA-LABORI
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Credential | DDS
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Telephone | 305-926-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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