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General NPI Number Information
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NPI Number | 1750262390
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Entity Type | Organization
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Legal Business Name | SUPER SMILES PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 385 W BROADWAY
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City | BOSTON
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State | MA
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Zip | 02127-2217
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Country | US
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Telephone | 617-268-8242
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Fax |
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Provider Business Mailing Address
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Address Line | 385 W BROADWAY
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City | BOSTON
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State | MA
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Zip | 02127-2217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FIRAS ABBAS
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Credential | DMD
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Telephone | 617-863-7116
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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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