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General NPI Number Information
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NPI Number | 1780092080
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Entity Type | Organization
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Legal Business Name | PERFECT TEETH / FLW & 101 P.C.
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 15678 N FRANK LLOYD WRIGHT BLVD SUITE C-125
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2093
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Country | US
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Telephone | 480-661-0066
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Fax | 480-661-0044
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Provider Business Mailing Address
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Address Line | 15678 N FRANK LLOYD WRIGHT BLVD SUITE C-125
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2093
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Country | US
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Telephone | 480-661-0066
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Fax | 480-661-0044
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Authorized Official
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Title or Position | NATIONAL DIRECTOR OF RCM
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Name | ROSA LESSO
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Credential |
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Telephone | 714-571-3471
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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 | 5496
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License Number State | CO
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