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General NPI Number Information
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NPI Number | 1851973366
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Entity Type | Organization
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Legal Business Name | TRUE DENTISTRY INC
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Dates
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Enumeration Date | 04/23/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 12251 TAFT ST STE 200
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-1956
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Country | US
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Telephone | 954-441-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 12251 TAFT ST STE 200
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-1956
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Country | US
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Telephone | 954-441-8778
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. CARMEN RAMIREZ GONZALEZ
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Credential | DMD
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Telephone | 954-441-8778
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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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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #5
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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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