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General NPI Number Information
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NPI Number | 1578370680
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Entity Type | Organization
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Legal Business Name | UTICA DENTAL STUDIO PLLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1388 SAINT JOHNS PL
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City | BROOKLYN
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State | NY
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Zip | 11213-3810
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Country | US
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Telephone | 718-467-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 1388 SAINT JOHNS PL
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City | BROOKLYN
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State | NY
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Zip | 11213-3810
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Country | US
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Telephone | 718-467-6336
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Fax |
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Authorized Official
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Title or Position | MEMBER OF LLC
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Name | DR. YADVERINDER SINGH
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Credential | DMD
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Telephone | 860-595-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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