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General NPI Number Information
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NPI Number | 1598688582
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Entity Type | Organization
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Legal Business Name | KEYSTONE DENTAL STUDIO LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2128 PERKIOMEN AVE
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City | READING
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State | PA
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Zip | 19606-1865
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Country | US
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Telephone | 610-779-5123
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Fax | 610-779-9408
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Provider Business Mailing Address
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Address Line | 2128 PERKIOMEN AVE
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City | READING
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State | PA
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Zip | 19606-1865
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Country | US
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Telephone | 610-779-5123
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Fax | 610-779-9408
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | HITESH NADA NADA
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Credential | DMD
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Telephone | 734-837-3424
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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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