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General NPI Number Information
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NPI Number | 1730067737
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Entity Type | Organization
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Legal Business Name | OCEAN VIEW DENTAL GROUP
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 500 S SEPULVEDA BLVD STE 210
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-6976
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Country | US
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Telephone | 310-372-8188
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Fax | 310-376-1909
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Provider Business Mailing Address
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Address Line | 500 S SEPULVEDA BLVD STE 210
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-6976
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Country | US
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Telephone | 310-372-8188
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Fax | 310-376-1909
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FLOR LIRA
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Credential |
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Telephone | 310-372-8188
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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 |
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License Number State |
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