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General NPI Number Information
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NPI Number | 1891591806
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Entity Type | Organization
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Legal Business Name | DENTES 32 DENTISTRY PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 133 E 58TH ST STE 311A
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City | NEW YORK
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State | NY
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Zip | 10022-1167
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Country | US
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Telephone | 212-355-5241
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Fax | 212-355-5222
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Provider Business Mailing Address
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Address Line | 133 E 58TH ST STE 311A
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City | NEW YORK
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State | NY
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Zip | 10022-1167
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Country | US
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Telephone | 212-355-5241
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Fax | 212-355-5222
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Authorized Official
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Title or Position | PARTNER DENTIST
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Name | DR. JOCELYN TAN
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Credential | DDS
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Telephone | 212-355-5241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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