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General NPI Number Information
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NPI Number | 1679820344
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Entity Type | Individual
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Provider Name | SYLVIA MARIA MENTRASTI D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 10151 W COMMERCIAL BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-4327
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Country | US
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Telephone | 954-720-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 2683 MEADOWOOD CT
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City | WESTON
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State | FL
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Zip | 33332-3434
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Country | US
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Telephone | 630-302-4718
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 19864
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License Number State | FL
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