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General NPI Number Information
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NPI Number | 1679431753
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Entity Type | Organization
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Legal Business Name | AJK DENTAL LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 27642 CASHFORD CIR STE 110
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6912
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Country | US
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Telephone | 813-295-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 27642 CASHFORD CIR STE 110
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6912
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Country | US
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Telephone | 813-295-0337
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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. ALBERT JIN NAM
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Credential | DDS
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Telephone | 516-385-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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