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General NPI Number Information
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NPI Number | 1467922872
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Entity Type | Organization
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Legal Business Name | ALL SMILES BIG AND SMALL, PA
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 10920 MOSS PARK RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32832-6086
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Country | US
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Telephone | 407-204-9144
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Fax | 407-901-4522
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Provider Business Mailing Address
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Address Line | 10920 MOSS PARK RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32832-6086
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Country | US
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Telephone | 407-204-9144
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Fax | 407-901-4522
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Authorized Official
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Title or Position | OWNER
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Name | MR. GABRIEL JSHUA SANGALANG
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Credential | DMD
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Telephone | 407-204-9144
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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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