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General NPI Number Information
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NPI Number | 1902015456
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Entity Type | Organization
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Legal Business Name | DENTAL SMILES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 11558 ROSECRANS AVE.
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-868-4243
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Fax | 562-868-4743
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Provider Business Mailing Address
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Address Line | 11558 ROSECRANS AVE.
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-868-4243
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Fax | 562-868-4743
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER AGUINALDO FERRER
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Credential | DMD
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Telephone | 562-868-4243
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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 | 41914
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License Number State | CA
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