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General NPI Number Information
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NPI Number | 1700289154
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Entity Type | Organization
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Legal Business Name | ALEXANDER SANTOS FLORES DMD INC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 10454 ARTESIA BLVD STE C
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City | BELLFLOWER
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State | CA
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Zip | 90706-6838
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Country | US
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Telephone | 562-925-5899
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Fax | 562-920-9885
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Provider Business Mailing Address
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Address Line | 10454 ARTESIA BLVD STE C
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City | BELLFLOWER
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State | CA
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Zip | 90706-6838
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Country | US
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Telephone | 562-925-5899
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Fax | 562-920-9885
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDER SANTOS FLORES
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Credential | DMD
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Telephone | 562-925-5899
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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 | 43955
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License Number State | CA
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