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General NPI Number Information
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NPI Number | 1790694693
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Entity Type | Organization
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Legal Business Name | SULOVARI DENTAL GROUP LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 4801 BERGENLINE AVE FL 2
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City | UNION CITY
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State | NJ
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Zip | 07087-5153
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Country | US
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Telephone | 201-865-6740
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Fax | 201-865-6739
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Provider Business Mailing Address
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Address Line | 4801 BERGENLINE AVE FL 2
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City | UNION CITY
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State | NJ
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Zip | 07087-5153
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Country | US
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Telephone | 201-865-6740
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Fax | 201-865-6739
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Authorized Official
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Title or Position | OWNER
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Name | VIKTOR SULOVARI
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Credential | DMD
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Telephone | 551-236-7534
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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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