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General NPI Number Information
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NPI Number | 1801750633
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Entity Type | Organization
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Legal Business Name | DANIEL ALEJANDRO PEREZ SAMANIEGO
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | AVE. REFORMA 1917
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City | MEXICALI
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State | BAJA CALIFORNIA
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Zip | 21100
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 420 MORONGO DR
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City | IMPERIAL
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State | CA
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Zip | 92251-8620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DANIEL ALEJANDRO PEREZ SAMANIEGO
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Credential | DDS
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Telephone | 619-272-9021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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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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