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General NPI Number Information
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NPI Number | 1487167144
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Entity Type | Organization
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Legal Business Name | SAPHIRE DENTAL INC.
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 5985 FLORENCE AVE STE F
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City | BELL GARDENS
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State | CA
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Zip | 90201-6747
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Country | US
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Telephone | 562-309-2423
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Fax | 562-270-7012
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Provider Business Mailing Address
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Address Line | 8439 DAVISTA DR
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City | WHITTIER
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State | CA
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Zip | 90605-1106
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Country | US
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Telephone | 562-585-5612
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Fax | 532-270-7012
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Authorized Official
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Title or Position | CEO
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Name | DR. MARTHA BEATRIZ MARTINEZ
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Credential | BS ,DDS
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Telephone | 562-309-2423
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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 | 58520
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License Number State | CA
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