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General NPI Number Information
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NPI Number | 1447827852
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Entity Type | Individual
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Provider Name | CHRISTIAN DAVID LABONTE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 7855 FAY AVE STE 110
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City | LA JOLLA
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State | CA
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Zip | 92037-4279
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Country | US
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Telephone | 619-651-9537
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 PIO PICO DR
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City | CARLSBAD
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State | CA
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Zip | 92008-1037
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Country | US
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Telephone | 207-783-8263
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DDS111536
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License Number State | CA
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