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General NPI Number Information
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NPI Number | 1639812217
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Entity Type | Organization
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Legal Business Name | WESTMINSTER DENTAL
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 826 WASHINGTON RD STE 104
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City | WESTMINSTER
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State | MD
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Zip | 21157-5779
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Country | US
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Telephone | 410-857-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 514 ACADEMY AVE
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1310
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Country | US
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Telephone | 443-652-2238
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | MONIL MIISTRY
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Credential | DMD
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Telephone | 443-652-2238
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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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