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General NPI Number Information
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NPI Number | 1548061583
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Entity Type | Organization
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Legal Business Name | EVERYDAY SMILES PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 374 WINDSOR HWY STE 368E
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7988
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Country | US
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Telephone | 914-882-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HARRISON CT
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-7022
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Country | US
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Telephone | 914-882-9882
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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. KATHLEEN GONZALES
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Credential | DDS
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Telephone | 914-882-9882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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