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General NPI Number Information
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NPI Number | 1578270047
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Entity Type | Organization
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Legal Business Name | FRIENDLY SMILES LLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 100 CONSTANTINE WAY SUITE B
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City | GREER
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State | SC
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Zip | 29650
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Country | US
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Telephone | 864-887-5518
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Fax |
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Provider Business Mailing Address
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Address Line | 418 NEBBIOLO LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4796
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Country | US
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Telephone | 864-887-5518
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. MEENAKSHI YADAV
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Credential | DMD
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Telephone | 864-887-5518
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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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