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General NPI Number Information
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NPI Number | 1740359181
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Entity Type | Organization
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Legal Business Name | CARLOS DA SILVA D.D.S INC.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11042 VALLEY MALL
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City | EL MONTE
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State | CA
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Zip | 91731-2617
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Country | US
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Telephone | 626-442-0699
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Fax | 626-442-0885
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Provider Business Mailing Address
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Address Line | 1306 FAIRPLAIN AVE
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City | WHITTIER
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State | CA
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Zip | 90601-1024
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Country | US
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Telephone | 626-336-0448
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS TALTIVIO DA SILVA
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Credential | D.D.S.
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Telephone | 626-442-0699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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