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General NPI Number Information
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NPI Number | 1952277253
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Entity Type | Organization
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Legal Business Name | SMILE HAUS DENTAL STUDIO
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2727 E MCKELLIPS RD STE 101
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City | MESA
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State | AZ
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Zip | 85213-3121
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Country | US
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Telephone | 480-409-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 E MCKELLIPS RD STE 101
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City | MESA
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State | AZ
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Zip | 85213-3121
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Country | US
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Telephone | 480-409-8891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHARINE LEGASPI
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Credential | DMD
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Telephone | 925-784-4815
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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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