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General NPI Number Information
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NPI Number | 1811820095
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Entity Type | Organization
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Legal Business Name | LITTLE AND BIG SMILES DENTISTRY PLLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 8419 E BASELINE RD STE 101
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City | MESA
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State | AZ
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Zip | 85209-4380
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Country | US
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Telephone | 703-819-7037
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Fax |
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Provider Business Mailing Address
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Address Line | 2079 E SADDLEBROOK CT
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City | GILBERT
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State | AZ
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Zip | 85298-7416
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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 | MEMBER
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Name | RAZAN NOUR
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Credential |
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Telephone | 916-904-6236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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