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General NPI Number Information
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NPI Number | 1811780919
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Entity Type | Organization
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Legal Business Name | LVL ORTHODONTICS PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 6401 HILLCREST AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75205-1852
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Country | US
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Telephone | 469-455-1355
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Fax | 469-501-5269
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Provider Business Mailing Address
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Address Line | 6401 HILLCREST AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75205-1852
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Country | US
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Telephone | 469-455-1355
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Fax | 469-501-5269
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. DIANA-BEATRIX VELICU
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Credential | DDS, MSC, MS
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Telephone | 469-455-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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