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General NPI Number Information
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NPI Number | 1871461012
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Entity Type | Organization
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Legal Business Name | ZELLWOOD INTEGRITY DENTAL
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3116 N WASHINGTON ST
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City | ZELLWOOD
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State | FL
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Zip | 32798-9661
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Country | US
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Telephone | 407-598-8442
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Fax | 407-598-8452
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Provider Business Mailing Address
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Address Line | 3010 COLFAX ST
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City | EUSTIS
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State | FL
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Zip | 32726-7915
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Country | US
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Telephone | 407-598-8442
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Fax | 407-598-8452
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ARMANDO LOPEZ
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Credential | DMD
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Telephone | 786-516-3882
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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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