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NPI 1821472929

NPI 1821472929 : CRISTIANA FERRARI DDS INC : CULVER CITY, CA

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General NPI Number Information
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    NPI Number           |    1821472929
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRISTIANA FERRARI DDS INC 
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Dates
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    Enumeration Date     |    07/17/2015
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    Last Update Date     |    09/28/2015
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Provider Practice Location Address
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    Address Line         |    5859 UPLANDER WAY 
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    City                 |    CULVER CITY
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    State                |    CA
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    Zip                  |    90230-0000
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    Country              |    US
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    Telephone            |    310-642-5999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5859 UPLANDER WAY 
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    City                 |    CULVER CITY
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    State                |    CA
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    Zip                  |    90230-0000
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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    |    DDS
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    Name                 |     CRISTIANA  FERRARI 
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    Credential           |    
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    Telephone            |    310-642-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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