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General NPI Number Information
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NPI Number | 1710868997
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Entity Type | Organization
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Legal Business Name | CLEARWATER DREAMS DENTAL PA
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2431 ESTANCIA BLVD STE E
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City | CLEARWATER
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State | FL
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Zip | 33761-2608
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Country | US
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Telephone | 727-796-2181
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Fax | 727-796-2182
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Provider Business Mailing Address
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Address Line | 2765 VIA CIPRIANI UNIT 1222A
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City | CLEARWATER
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State | FL
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Zip | 33764-3944
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Country | US
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Telephone | 786-380-5384
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAZARO ESTEBAN SANTANA BUBAIRE
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Credential | DDS
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Telephone | 786-380-5384
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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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