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General NPI Number Information
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NPI Number | 1922641646
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Entity Type | Organization
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Legal Business Name | MICHELLE PILONES DDS INC.
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 2411 OCEAN AVE STE 201
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-2618
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Country | US
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Telephone | 415-494-5695
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 YGNACIO VALLEY RD STE C205
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3392
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Country | US
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Telephone | 925-952-5544
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Fax | 925-952-5566
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | MS. MICHELLE ALESNA PILONES
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Credential | DMD
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Telephone | 925-952-5544
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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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