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General NPI Number Information
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NPI Number | 1871290924
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Entity Type | Organization
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Legal Business Name | DENTAL CARE ASSOCIATION,CORP
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 304 NE 8TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4712
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Country | US
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Telephone | 786-404-3791
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Fax | 786-530-4111
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Provider Business Mailing Address
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Address Line | 9275 SW 152ND ST STE 106
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1773
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Country | US
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Telephone | 305-233-6575
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Fax | 786-530-4111
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Authorized Official
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Title or Position | DENTAL
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Name | CRISTINA GARCIA
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Credential | D.D.S
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Telephone | 786-404-3791
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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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