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General NPI Number Information
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NPI Number | 1770403107
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Entity Type | Organization
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Legal Business Name | NOR DENTAL LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 92-3 CALLE 78
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City | BAYAMON
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State | PR
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Zip | 00961-4406
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Country | US
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Telephone | 939-336-2363
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Fax | 939-336-2363
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Provider Business Mailing Address
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Address Line | 92-3 CALLE 78
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City | BAYAMON
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State | PR
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Zip | 00961-4406
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Country | US
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Telephone | 939-336-2363
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Fax | 939-336-2363
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUAN ANTONIO CABAN
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Credential |
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Telephone | 787-649-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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