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General NPI Number Information
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NPI Number | 1841160835
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Entity Type | Organization
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Legal Business Name | SOLA FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 157 3RD AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2143
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Country | US
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Telephone | 201-666-3402
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Fax |
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Provider Business Mailing Address
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Address Line | 118 RICHMOND ST APT 2
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City | LODI
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State | NJ
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Zip | 07644-2817
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Country | US
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Telephone | 201-983-7413
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. COLLIN SUH
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Credential | DMD
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Telephone | 201-983-7413
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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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Taxonomy #2
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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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