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General NPI Number Information
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NPI Number | 1528824497
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Entity Type | Organization
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Legal Business Name | CHROMA DENTAL PLLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 155 E. 55TH ST SUITE #301
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 646-440-3101
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Fax | 646-440-3102
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Provider Business Mailing Address
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Address Line | 155 E. 55TH ST SUITE #301
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 646-440-3101
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Fax | 646-440-3102
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Authorized Official
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Title or Position | OWNER, SHAREHOLDER
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Name | DR. YEVGENIY DAVYDOV
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Credential | DDS
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Telephone | 646-440-3101
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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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