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General NPI Number Information
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NPI Number | 1891637922
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Entity Type | Organization
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Legal Business Name | RESTORAL DENTAL FC LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 3950 JOHN F KENNEDY PKWY UNIT E
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City | FORT COLLINS
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State | CO
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Zip | 80525-3074
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Country | US
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Telephone | 337-523-4556
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W PINE ST STE B
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City | LAFAYETTE
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State | LA
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Zip | 70501-2913
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Country | US
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Telephone | 337-337-4114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER SAVOY
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Credential |
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Telephone | 337-523-4556
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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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