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General NPI Number Information
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NPI Number | 1750821666
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHODONTIC STUDIO
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 2908 E TRINITY MILLS RD
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City | CARROLLTON
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State | TX
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Zip | 75006-2318
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Country | US
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Telephone | 214-646-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 NORTH STATE HIGHWAY # 161 SUITE 150
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City | IRVING
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State | TX
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Zip | 75039-2816
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Country | US
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Telephone | 214-272-7626
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Fax |
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Authorized Official
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Title or Position | OWNER / FOUNDER
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Name | DR. MARCO NAVARRO-FLORES
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Credential |
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Telephone | 214-727-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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