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General NPI Number Information
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NPI Number | 1871214965
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Entity Type | Organization
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Legal Business Name | AR DENTAL LLC
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 47 AV. SEVERIANO CUEVAS OFICINA #4
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-903-5404
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2546
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City | ISABELA
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State | PR
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Zip | 00662-9546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NESTOR ANDRES ALVAREZ LAMELA
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Credential | DMD
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Telephone | 787-903-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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