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General NPI Number Information
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NPI Number | 1841216090
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Entity Type | Organization
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Legal Business Name | SONORAN DENTAL DESIGN
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 7500 E PINNACLE PEAK RD 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3406
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Country | US
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Telephone | 480-419-9595
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Fax | 480-419-7417
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Provider Business Mailing Address
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Address Line | 7500 E PINNACLE PEAK RD SUITE 204
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3406
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Country | US
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Telephone | 480-419-9595
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Fax | 480-419-7417
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Authorized Official
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Title or Position | OWNER
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Name | ANN SIELICKI-HALMEKANGAS
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Credential | D.D.S.
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Telephone | 480-585-7560
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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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