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General NPI Number Information
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NPI Number | 1790961811
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Entity Type | Organization
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Legal Business Name | DANIELA PETRE DMD PC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 210 N CUSTER RD SUITE 150
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City | MCKINNEY
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State | TX
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Zip | 75071-8005
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Country | US
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Telephone | 972-540-0605
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Fax | 972-540-0173
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Provider Business Mailing Address
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Address Line | 210 N CUSTER RD SUITE 150
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City | MCKINNEY
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State | TX
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Zip | 75071-8005
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Country | US
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Telephone | 972-540-0605
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Fax | 972-540-0173
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DANIELA PETRE
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Credential | DMD
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Telephone | 972-540-0605
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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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