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General NPI Number Information
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NPI Number | 1447441019
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Entity Type | Organization
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Legal Business Name | OLGA P. SAAVEDRA, D.D.S., INC,
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 14705 PRAIRIE AVE
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City | LAWNDALE
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State | CA
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Zip | 90260-1831
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Country | US
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Telephone | 310-644-1600
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Fax | 310-644-1670
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Provider Business Mailing Address
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Address Line | 14705 PRAIRIE AVE
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City | LAWNDALE
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State | CA
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Zip | 90260-1831
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Country | US
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Telephone | 310-644-1600
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Fax | 310-644-1670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLGA PATRICIA SAAVEDRA
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Credential | D.D.S
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Telephone | 310-644-1600
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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 | 50518
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License Number State | CA
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