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General NPI Number Information
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NPI Number | 1699569236
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Entity Type | Organization
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Legal Business Name | MIAMI VENEERS INC.
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 700
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City | AVENTURA
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 305-627-3980
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Fax |
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Provider Business Mailing Address
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Address Line | 21055 YACHT CLUB DR APT 2701
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City | AVENTURA
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State | FL
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Zip | 33180-4092
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Country | US
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Telephone | 614-886-5997
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DINA BOBROVA
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Credential | DMD
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Telephone | 614-886-5997
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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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