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General NPI Number Information
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NPI Number | 1811808058
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Entity Type | Organization
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Legal Business Name | STARLINE DENTAL CARE, PA
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 8529 GUNN HWY
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City | ODESSA
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State | FL
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Zip | 33556-3288
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Country | US
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Telephone | 689-210-7489
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Fax |
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Provider Business Mailing Address
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Address Line | 11110 SUNDRIFT DR
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City | TAMPA
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State | FL
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Zip | 33647-3858
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Country | US
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Telephone | 732-874-2637
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | SRAVANTHI KANTA
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Credential | DMD
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Telephone | 732-874-2637
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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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