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General NPI Number Information
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NPI Number | 1881490068
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Entity Type | Organization
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Legal Business Name | ALL SMILES DENTAL LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 743 TERRY PKWY
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City | GRETNA
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State | LA
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Zip | 70056-4346
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Country | US
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Telephone | 504-723-1425
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Fax |
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Provider Business Mailing Address
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Address Line | 743 TERRY PKWY
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City | TERRYTOWN
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State | LA
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Zip | 70056-4346
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Country | US
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Telephone | 504-348-0080
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SAMIR HAMDAN
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Credential | DDS
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Telephone | 504-348-0080
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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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