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General NPI Number Information
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NPI Number | 1679397954
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Entity Type | Organization
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Legal Business Name | TOOTHACHE SOLUTIONS LLC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2335 TAMIAMI TRL N STE 507
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City | NAPLES
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State | FL
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Zip | 34103-4459
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Country | US
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Telephone | 239-262-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 7170 WILTON DR
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City | NAPLES
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State | FL
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Zip | 34109-1982
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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 | DENTIST
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Name | DR. ROBYN MATONTI
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Credential | DMD
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Telephone | 954-648-7105
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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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