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General NPI Number Information
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NPI Number | 1790145639
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Entity Type | Organization
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Legal Business Name | A2Z DENTAL
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 255 NORTH MAIN STR.
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City | MANVILLE
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State | NJ
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Zip | 08835
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Country | US
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Telephone | 908-526-2224
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Fax | 908-526-2267
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Provider Business Mailing Address
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Address Line | 255 NORTH MAIN STR.
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City | MANVILLE
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State | NJ
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Zip | 08835
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Country | US
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Telephone | 908-526-2224
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Fax | 908-526-2267
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY GOLDER
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Credential | D.D.S.
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Telephone | 908-526-2224
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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 |
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License Number State |
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