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General NPI Number Information
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NPI Number | 1538058557
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Entity Type | Organization
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Legal Business Name | DESIGN AND FAMILY DENTISTRY 2
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 12538 SW 120TH ST
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City | MIAMI
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State | FL
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Zip | 33186-9064
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Country | US
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Telephone | 786-314-7959
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Fax | 786-245-6772
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Provider Business Mailing Address
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Address Line | 12538 SW 120TH ST
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City | MIAMI
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State | FL
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Zip | 33186-9064
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Country | US
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Telephone | 786-314-7959
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | GEANYS BATISTA GOMEZ
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Credential |
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Telephone | 786-314-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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