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General NPI Number Information
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NPI Number | 1720154370
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Entity Type | Individual
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Provider Name | ISABELLA PIEDRA DDS
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 490 S FARRELL DR STE C101
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7962
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Country | US
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Telephone | 760-320-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 920 MELBURY CT
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City | REDLANDS
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State | CA
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Zip | 92373-6322
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Country | US
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Telephone | 909-499-9093
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 47307
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License Number State | CA
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