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General NPI Number Information
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NPI Number | 1912850165
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Entity Type | Organization
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Legal Business Name | WHITE SMILE DENTAL SOLUTIONS LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | B35 CALLE 6
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City | TOA ALTA
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State | PR
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Zip | 00953-2232
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Country | US
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Telephone | 939-219-5165
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Fax |
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Provider Business Mailing Address
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Address Line | HC 74 BOX 5845
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City | NARANJITO
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State | PR
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Zip | 00719-7445
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Country | US
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Telephone | 939-219-5165
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/MANAGER
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Name | SIDMARIE AGRON
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Credential |
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Telephone | 939-219-5165
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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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