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General NPI Number Information
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NPI Number | 1780984815
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Entity Type | Organization
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Legal Business Name | AMERICAN SETHI SMILE CENTER
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 1127 SOUTH UNIVERSITY DRIVE
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-533-1191
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Fax | 954-533-1610
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Provider Business Mailing Address
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Address Line | 1127 SOUTH UNIVERSITY DRIVE
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City | PLANTATION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-533-1191
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Fax | 954-533-1610
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANGEETA SETHI
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Credential | DDS
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Telephone | 954-533-1191
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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 | 15773
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License Number State | FL
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