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General NPI Number Information
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NPI Number | 1568125961
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Entity Type | Organization
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Legal Business Name | DS DENTAL CARE 2 PLLC
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 2879 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-1440
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Country | US
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Telephone | 954-890-2879
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Fax | 954-363-0625
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Provider Business Mailing Address
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Address Line | 2879 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-1440
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Country | US
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Telephone | 954-890-2879
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Fax | 954-363-0625
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Authorized Official
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Title or Position | OWNER
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Name | DANIA SANTANA
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Credential | DMD
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Telephone | 954-456-2100
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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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