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General NPI Number Information
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NPI Number | 1548728223
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Entity Type | Organization
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Legal Business Name | I & S DENTAL SERVICES, INC.
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 8950 SW 74TH CT STE 1202
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City | MIAMI
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State | FL
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Zip | 33156-3170
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Country | US
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Telephone | 786-271-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 SW 128TH CT
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City | MIAMI
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State | FL
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Zip | 33175-5442
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Country | US
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Telephone | 786-271-4114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE A VAZQUEZ
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Credential | DMD
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Telephone | 786-271-4114
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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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