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General NPI Number Information
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NPI Number | 1760503098
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Entity Type | Organization
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Legal Business Name | DENTIST ON CALL OFFICE OF DR. CHRISTLINE S. ROBLES DENTAL CORP.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 8215 VAN NUYS BLVD STE. 216
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4810
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Country | US
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Telephone | 818-997-8097
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Fax | 818-997-1202
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Provider Business Mailing Address
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Address Line | 8215 VAN NUYS BLVD STE. 216
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4810
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Country | US
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Telephone | 818-997-8097
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Fax | 818-997-1202
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTLINE SALVADOR ROBLES
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Credential | D.M.D.
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Telephone | 818-997-8097
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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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