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NPI 1700722964

NPI 1700722964 : DANIEL MUROLO, D.D.S. A PROFESSIONAL DENTAL CORPORATION : ANDERSON, CA

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General NPI Number Information
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    NPI Number           |    1700722964
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL MUROLO, D.D.S. A PROFESSIONAL DENTAL CORPORATION 
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Dates
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    Enumeration Date     |    04/28/2026
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    Last Update Date     |    04/28/2026
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Provider Practice Location Address
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    Address Line         |    2817 CHILDRESS DR 
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    City                 |    ANDERSON
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    State                |    CA
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    Zip                  |    96007-3563
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    Country              |    US
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    Telephone            |    530-365-3351
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    Fax                  |    530-365-2732
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Provider Business Mailing Address
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    Address Line         |    2817 CHILDRESS DR 
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    City                 |    ANDERSON
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    State                |    CA
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    Zip                  |    96007-3563
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    Country              |    US
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    Telephone            |    530-365-3351
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/DENTIST
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    Name                 |     DANIEL  MUROLO 
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    Credential           |    M.S., D.D.S.
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    Telephone            |    607-765-7675
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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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