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NPI 1821490244

NPI 1821490244 : SVETLANA NARET DDS INC : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1821490244
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    Entity Type          |    Organization 
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    Legal Business Name  |    SVETLANA NARET DDS INC 
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Dates
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    Enumeration Date     |    09/17/2014
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    Last Update Date     |    08/26/2020
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Provider Practice Location Address
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    Address Line         |    5710 CAHALAN AVE. #8-J
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95123
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    Country              |    US
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    Telephone            |    408-225-7813
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5710 CAHALAN AVE. #8-J
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95123
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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    |    OWNER
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    Name                 |     SVETLANA  NARET 
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    Credential           |    
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    Telephone            |    408-225-7813
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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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