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General NPI Number Information
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NPI Number | 1801120936
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Entity Type | Organization
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Legal Business Name | SMILE TODAY DENTAL, LLC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 301 OXFORD VALLEY RD SUITE 1301
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City | YARDLEY
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State | PA
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Zip | 19067-7706
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Country | US
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Telephone | 215-313-0432
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Fax | 215-434-7257
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Provider Business Mailing Address
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Address Line | 301 OXFORD VALLEY RD SUITE 1301
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City | YARDLEY
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State | PA
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Zip | 19067-7706
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Country | US
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Telephone | 215-313-0432
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Fax | 215-434-7257
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHINH NGUYEN LE
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Credential | DDS
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Telephone | 215-313-0432
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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 | DS038077
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License Number State | PA
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