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General NPI Number Information
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NPI Number | 1639016355
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Entity Type | Organization
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Legal Business Name | TRAVELING SMILES
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 3610 PIEDMONT RD. NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 470-509-5898
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Fax |
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Provider Business Mailing Address
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Address Line | 730 PEACHTREE ST NE STE 570
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City | ATLANTA
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State | GA
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Zip | 30308-1244
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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 | OWNER
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Name | DR. MANOUCHKA FLEURINORD
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Credential | DDS
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Telephone | 470-509-5898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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