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General NPI Number Information
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NPI Number | 1528209897
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Entity Type | Organization
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Legal Business Name | WALDORF FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 21 INDUSTRIAL PARK DR
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City | WALDORF
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State | MD
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Zip | 20602-2751
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Country | US
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Telephone | 301-638-0100
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Fax | 301-638-0102
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Provider Business Mailing Address
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Address Line | 21 INDUSTRIAL PARK DR
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City | WALDORF
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State | MD
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Zip | 20602-2751
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Country | US
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Telephone | 301-638-0100
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Fax | 301-638-0102
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Authorized Official
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Title or Position | DR./OWNER
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Name | DR. RONALD P DAPICE
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Credential | D.D.S
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Telephone | 301-638-0100
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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 | 10518
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License Number State | MD
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