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General NPI Number Information
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NPI Number | 1831052273
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Entity Type | Organization
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Legal Business Name | EVALINA JOSEFSSON,DDS, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 10455 LOWER AZUSA RD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3470
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Country | US
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Telephone | 818-788-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 10455 LOWER AZUSA RD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-3470
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Country | US
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Telephone | 818-788-8840
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EVA-LINA JOSEFSSON
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Credential | DDS
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Telephone | 818-934-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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