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General NPI Number Information
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NPI Number | 1922419746
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Entity Type | Organization
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Legal Business Name | KEEP SMILING PLLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 4201 MASSACHUSETTS AVE NW SUITE 1040C
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City | WASHINGTON
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State | DC
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Zip | 20016-4701
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Country | US
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Telephone | 925-407-5263
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 MASSACHUSETTS AVE NW SUITE 1040C
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City | WASHINGTON
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State | DC
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Zip | 20016-4701
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Country | US
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Telephone | 925-407-5263
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. PRIYA GREWAL
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Credential |
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Telephone | 925-407-5263
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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 | DEN1000978
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License Number State | DC
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