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General NPI Number Information
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NPI Number | 1871205393
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Entity Type | Organization
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Legal Business Name | DEEPLY ROOTED DENTISTRY, LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 461 NE GREENWOOD AVE SUITE C
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-678-5060
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Fax | 541-306-4004
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Provider Business Mailing Address
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Address Line | 461 NE GREENWOOD AVE SUITE C
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-678-5060
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Fax | 541-306-4004
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. PAUL H KIM
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Credential | DMD
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Telephone | 541-678-5060
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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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