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General NPI Number Information
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NPI Number | 1629935515
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Entity Type | Organization
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Legal Business Name | YOUR DENTAL OFFICE CORP
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3796 NW 19TH ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33311-4122
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Country | US
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Telephone | 954-739-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 3796 NW 19TH ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33311-4122
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GURMAN SAHI
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Credential |
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Telephone | 954-864-0006
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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 |
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License Number State |
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