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General NPI Number Information
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NPI Number | 1699587113
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Entity Type | Organization
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Legal Business Name | CORAL SPRINGS DENTAL ASSOCIATES
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 6267 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3175
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Country | US
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Telephone | 954-341-4766
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Fax | 954-255-8131
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Provider Business Mailing Address
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Address Line | 6267 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3175
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Country | US
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Telephone | 954-341-4766
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Fax | 954-255-8131
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ZOEY TORRES
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Credential |
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Telephone | 954-341-4766
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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 |
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License Number State |
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