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General NPI Number Information
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NPI Number | 1831031871
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Entity Type | Organization
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Legal Business Name | SUNNY SMILES PLLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 915 COUNTY HIGHWAY 10
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City | MINNEAPOLIS
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State | MN
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Zip | 55432-1208
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Country | US
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Telephone | 763-807-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 915 COUNTY HIGHWAY 10
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City | MINNEAPOLIS
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State | MN
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Zip | 55432-1208
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Country | US
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Telephone | 763-807-1743
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING DENTIST
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Name | DR. AHMAD ADBALLAH
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Credential | DMD
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Telephone | 651-354-2514
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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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