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General NPI Number Information
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NPI Number | 1912124926
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Entity Type | Organization
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Legal Business Name | FRANK A DAHLSTROM,DMD,PC.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 811 MAIN ST
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City | DENNIS
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State | MA
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Zip | 02638-0985
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Country | US
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Telephone | 508-385-3136
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Fax | 508-385-3137
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Provider Business Mailing Address
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Address Line | 811 MAIN ST P O BOX 985
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City | DENNIS
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State | MA
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Zip | 02638-0985
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Country | US
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Telephone | 508-385-3136
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Fax | 508-385-3137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK ALDEN DAHLSTROM
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Credential | DMD
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Telephone | 508-385-3136
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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 | 12330
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License Number State | MA
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