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General NPI Number Information
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NPI Number | 1942184288
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Entity Type | Organization
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Legal Business Name | BUFFALO215DENTAL LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 6530 S BUFFALO DR STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89113-2169
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Country | US
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Telephone | 702-505-9199
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Fax | 702-505-4866
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Provider Business Mailing Address
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Address Line | 6530 S BUFFALO DR STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89113-2169
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Country | US
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Telephone | 702-505-9199
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Fax | 702-505-4866
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Authorized Official
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Title or Position | DENTIST
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Name | AMANPREET BATH
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Credential | DDS
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Telephone | 510-209-1230
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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 |
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License Number State |
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