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General NPI Number Information
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NPI Number | 1851653778
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Entity Type | Organization
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Legal Business Name | DENTAL HEALTH EXPERTS
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 10320 N 56TH ST STE 300
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-4071
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Country | US
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Telephone | 813-374-0302
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Fax | 813-443-5263
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Provider Business Mailing Address
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Address Line | 10320 N 56TH ST STE 300
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-4071
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Country | US
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Telephone | 813-374-0302
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Fax | 813-443-5263
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Authorized Official
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Title or Position | OWNER
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Name | VINCE DELLE-DONNE
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Credential | DDS
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Telephone | 813-374-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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