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NPI 1558183749

NPI 1558183749 : ANDRES ALMORA DDS INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1558183749
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDRES ALMORA DDS INC 
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Dates
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    Enumeration Date     |    10/29/2024
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    761 SOUTH FETTERLY AVE. 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90022
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    Country              |    US
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    Telephone            |    323-269-8600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16840 MCCORMICK ST. 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436
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    Country              |    US
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    Telephone            |    818-438-6878
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. ANDRES ALEJANDRO ALMORA 
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    Credential           |    DDS
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    Telephone            |    818-438-6878
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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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