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General NPI Number Information
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NPI Number | 1609957646
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE DENTAL CENTER, P.C.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27281 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-1804
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Country | US
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Telephone | 313-274-4040
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Fax | 313-274-8080
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Provider Business Mailing Address
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Address Line | 27281 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-1804
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Country | US
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Telephone | 313-274-4040
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Fax | 313-274-8080
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. LAWRENCE DAVID SKLAR
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Credential | D.D.S.
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Telephone | 313-274-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901014139
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License Number State | MI
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