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General NPI Number Information
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NPI Number | 1528353836
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Entity Type | Organization
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Legal Business Name | DENTAL EXCELLENCE
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 7426 WILES RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2066
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Country | US
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Telephone | 954-255-3500
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Fax | 954-255-3515
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Provider Business Mailing Address
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Address Line | 7426 WILES RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2066
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Country | US
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Telephone | 954-255-3500
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Fax | 954-255-3515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY T BUI
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Credential | DMD
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Telephone | 954-255-3500
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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 | DN15112
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License Number State | FL
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