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General NPI Number Information
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NPI Number | 1821287988
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Entity Type | Organization
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Legal Business Name | CURTIS DENTAL
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 1355 FLORIN RD STE 18
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City | SACRAMENTO
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State | CA
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Zip | 95822-4244
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Country | US
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Telephone | 916-391-1161
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Fax | 916-391-1164
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Provider Business Mailing Address
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Address Line | 1355 FLORIN RD STE 18
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City | SACRAMENTO
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State | CA
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Zip | 95822-4244
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Country | US
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Telephone | 916-391-1161
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Fax | 916-391-1164
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHELLY D. COFRESI
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Credential |
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Telephone | 916-391-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 40536
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License Number State | CA
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