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General NPI Number Information
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NPI Number | 1952771040
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Entity Type | Organization
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Legal Business Name | FLOSS & GLOSS DENTAL GROUP LLC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 8462 JACKSON ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19136-2428
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Country | US
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Telephone | 267-394-1416
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 FRANKFORD AVE # 2
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City | PHILADELPHIA
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State | PA
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Zip | 19134-3217
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Country | US
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Telephone | 215-739-5600
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Fax | 215-291-0654
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA J DONMEZ
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Credential |
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Telephone | 267-394-1416
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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 | PA
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