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General NPI Number Information
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NPI Number | 1548157985
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Entity Type | Organization
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Legal Business Name | ROYALTY DENTAL LLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 10309 GRAND CENTRAL AVE STE 112
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4182
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Country | US
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Telephone | 202-607-5526
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Fax |
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Provider Business Mailing Address
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Address Line | 9912 CYPRESS WAY
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City | LAUREL
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State | MD
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Zip | 20723-6021
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Country | US
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Telephone | 202-607-5526
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | MAME ADUBEA ASAMOAH-ODEI
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Credential | DDS
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Telephone | 202-607-5526
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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 |
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License Number State |
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