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General NPI Number Information
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NPI Number | 1740036086
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Entity Type | Organization
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Legal Business Name | PMELO'S DENTAL GROUP & ASSOCIATES INC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 410 BARBER LN
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City | MILPITAS
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State | CA
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Zip | 95035-7914
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Country | US
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Telephone | 408-526-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 410 BARBER LN
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City | MILPITAS
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State | CA
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Zip | 95035-7914
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Country | US
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Telephone | 408-526-9999
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PONCIANO MELO JR.
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Credential |
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Telephone | 415-418-9547
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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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