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General NPI Number Information
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NPI Number | 1922936889
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Entity Type | Organization
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Legal Business Name | LUMINOUS DENTAL STUDIO LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 8355 E 32ND AVE APT 238
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City | DENVER
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State | CO
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Zip | 80238-4430
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Country | US
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Telephone | 720-477-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 8355 E 32ND AVE APT 238
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City | DENVER
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State | CO
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Zip | 80238-4430
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Country | US
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Telephone | 720-477-0282
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Fax |
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Authorized Official
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Title or Position | REGISTERED DENTAL HYGIENIST
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Name | MISS AILEEN ATZIRY MORELOS
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Credential | RDH
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Telephone | 951-801-9829
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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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