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General NPI Number Information
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NPI Number | 1760989727
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Entity Type | Organization
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Legal Business Name | VOORHEES DENTAL SMILES
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 102 WHITE HORSE RD W
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City | VOORHEES
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State | NJ
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Zip | 08043-3610
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Country | US
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Telephone | 856-784-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 28 TUDOR CT
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City | MARLTON
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State | NJ
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Zip | 08053-2085
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Country | US
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Telephone | 908-230-6762
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SWETHA BUDDA
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Credential | DMD
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Telephone | 908-230-6762
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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 | 22DI02549900
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License Number State | NJ
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