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General NPI Number Information
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NPI Number | 1508784752
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Entity Type | Organization
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Legal Business Name | PARADISE COAST DENTAL ARTS, LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 8590 COLLIER BLVD STE 102
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City | NAPLES
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State | FL
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Zip | 34114-2502
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Country | US
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Telephone | 801-896-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 397 DEAUVILLE LOOP
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City | NAPLES
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State | FL
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Zip | 34114-8343
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Country | US
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Telephone | 609-319-5922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN RUSSELL GARCIA
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Credential | DMD
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Telephone | 609-319-5922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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