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General NPI Number Information
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NPI Number | 1942957410
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Entity Type | Organization
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Legal Business Name | DINO LIRIO DDS INC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 1701 SANTA CLARA DR STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-2967
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Country | US
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Telephone | 916-670-1006
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Fax | 916-671-1516
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Provider Business Mailing Address
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Address Line | 1701 SANTA CLARA DR STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-2967
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Country | US
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Telephone | 916-670-1006
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Fax | 916-671-1516
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. DINO LIRIO
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Credential | DDS
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Telephone | 916-300-8086
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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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