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General NPI Number Information
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NPI Number | 1710417720
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Entity Type | Organization
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Legal Business Name | ACE DENTAL GROUP
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 571 WOLCOTT ST
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City | WATERBURY
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State | CT
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Zip | 06705-1310
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Country | US
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Telephone | 954-798-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 571 WOLCOTT ST
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City | WATERBURY
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State | CT
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Zip | 06705-1310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | KANWARPAL SINGH
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Credential | DDS
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Telephone | 954-798-0320
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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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Taxonomy #2
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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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