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General NPI Number Information
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NPI Number | 1740537430
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Entity Type | Organization
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Legal Business Name | AMERICAN SMILE INC
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 681 GOODLETTE RD STE 110
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City | NAPLES
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State | FL
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Zip | 34102-5612
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Country | US
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Telephone | 239-298-2519
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 TAMIAMI TRL N STE 232
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City | NAPLES
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State | FL
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Zip | 34103-4409
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Country | US
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Telephone | 239-298-2519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLGA DANIYAR
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Credential |
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Telephone | 239-298-2519
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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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