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General NPI Number Information
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NPI Number | 1770184111
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Entity Type | Organization
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Legal Business Name | DENTISTRY WITH A SMILE, INC.
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 1100 TOWN CENTER WAY 14-A-II
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-740-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 TOWN CENTER WAY 14-A-II
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-740-9200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA SEBASTIAN
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Credential | DDS
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Telephone | 973-740-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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