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General NPI Number Information
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NPI Number | 1497649677
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Entity Type | Organization
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Legal Business Name | 32 WESTERN SPRINGS DENTAL, LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 518 HILLGROVE AVE STE 200
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1480
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Country | US
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Telephone | 708-246-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 518 HILLGROVE AVE STE 200
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1480
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Country | US
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Telephone | 708-246-3635
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | SAMANTHA HERNANDEZ
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Credential | DDS
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Telephone | 331-645-5299
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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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