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General NPI Number Information
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NPI Number | 1639544174
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Entity Type | Organization
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Legal Business Name | DANIEL A FLORES, DDS, MS, INC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 245 N RANCHO SANTA FE RD STE. 207
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City | SAN MARCOS
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State | CA
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Zip | 92069-1278
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Country | US
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Telephone | 760-591-0167
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Fax |
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Provider Business Mailing Address
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Address Line | 245 N RANCHO SANTA FE RD STE. 207
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City | SAN MARCOS
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State | CA
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Zip | 92069-1278
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Country | US
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Telephone | 760-591-0167
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. DANIEL ALEXANDER FLORES
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Credential | D.D.S.
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Telephone | 760-745-1831
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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 | 30685
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License Number State | CA
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