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General NPI Number Information
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NPI Number | 1902634645
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Entity Type | Organization
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Legal Business Name | HELENA KILIC, DMD, PLLC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2968 CHAIN BRIDGE RD STE B
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City | OAKTON
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State | VA
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Zip | 22124-3038
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Country | US
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Telephone | 703-938-1900
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Fax | 703-938-4040
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Provider Business Mailing Address
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Address Line | 2968 CHAIN BRIDGE RD STE B
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City | OAKTON
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State | VA
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Zip | 22124-3038
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Country | US
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Telephone | 703-938-1900
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Fax | 703-938-4040
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. HELENA KILIC
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Credential | DMD
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Telephone | 310-845-5760
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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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