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General NPI Number Information
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NPI Number | 1538501408
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Entity Type | Organization
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Legal Business Name | DC DENTAL CARE, PLLC
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Dates
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Enumeration Date | 07/21/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 402 CHATHAM SQUARE OFFICE PARK
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2544
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Country | US
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Telephone | 540-373-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 402 CHATHAM SQUARE OFFICE PARK
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2544
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Country | US
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Telephone | 540-373-4444
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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. DANA ELENA CULDA
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Credential | DMD
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Telephone | 617-827-0592
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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 | 0401413412
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License Number State | VA
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