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General NPI Number Information
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NPI Number | 1679042360
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Entity Type | Organization
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Legal Business Name | ZAUL & SMITH PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 1720 EL CAMINO REAL STE 101
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City | BURLINGAME
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State | CA
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Zip | 94010-3211
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Country | US
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Telephone | 650-906-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S EL CAMINO REAL APT 308
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City | MILLBRAE
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State | CA
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Zip | 94030-3136
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Country | US
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Telephone | 650-906-5468
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | CICELY SMITH
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Credential | DDS
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Telephone | 650-906-5468
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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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