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General NPI Number Information
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NPI Number | 1669107009
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Entity Type | Organization
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Legal Business Name | LITTLE TOOTH DOCTORS LLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 51 HUNTFIELD DRIVE 100
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City | SMYRNA
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State | DE
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Zip | 19977
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Country | US
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Telephone | 302-508-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 51 HUNTFIELD DRIVE SUITE 100
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City | SMYRNA
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State | DE
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Zip | 19977
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Country | US
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Telephone | 302-508-0037
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | DR. DAVID A DELGADO
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Credential | DMD
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Telephone | 323-434-9209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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