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General NPI Number Information
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NPI Number | 1871200774
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Entity Type | Organization
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Legal Business Name | PRECISION DENTAL SERVICES, P.C.
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 799 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10467-6107
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Country | US
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Telephone | 917-817-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 758 SHERWOOD CT
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3615
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Country | US
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Telephone | 917-817-0918
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOSHE KLEIN
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Credential | DDS
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Telephone | 917-817-0918
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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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