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General NPI Number Information
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NPI Number | 1790589133
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Entity Type | Organization
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Legal Business Name | SATVATABDOL DDS APC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 14050 CHERRY AVE UNIT A
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City | FONTANA
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State | CA
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Zip | 92337-8312
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Country | US
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Telephone | 909-280-4742
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Fax | 909-280-4742
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Provider Business Mailing Address
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Address Line | 14050 CHERRY AVE STE A
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City | FONTANA
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State | CA
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Zip | 92337-8312
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Country | US
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Telephone | 909-280-4742
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Fax | 909-280-4742
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | ANA TEISSIER
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Credential | CREDENTIALS
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Telephone | 909-606-4500
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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 |
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License Number State |
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