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General NPI Number Information
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NPI Number | 1467328294
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Entity Type | Organization
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Legal Business Name | LDA DENTAL SERVICES LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | COND PLZ
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City | SAN JUAN
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State | PR
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Zip | 00907-4442
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Country | US
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Telephone | 787-341-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 1452 ASHFORD AVE SUITE 411A
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-341-0610
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIRIE DOYLE
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Credential |
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Telephone | 787-237-9413
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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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