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General NPI Number Information
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NPI Number | 1730895822
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Entity Type | Organization
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Legal Business Name | AG DENTAL,PC.
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 48 WOODBINE CT # 54
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City | FLORAL PARK
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State | NY
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Zip | 11001-2718
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Country | US
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Telephone | 617-407-2296
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | MINEOLA
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State | NY
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Zip | 11501-0524
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Country | US
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Telephone | 617-407-2296
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AMANPREET GILL
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Credential | DMD
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Telephone | 617-407-2296
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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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