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NPI 1962871855

NPI 1962871855 : DR. ALFRED PALETTI, DDS, PA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1962871855
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. ALFRED PALETTI, DDS, PA 
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Dates
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    Enumeration Date     |    09/21/2015
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    Last Update Date     |    09/21/2015
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Provider Practice Location Address
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    Address Line         |    5510 ABRAMS RD STE 102 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75214-2099
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    Country              |    US
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    Telephone            |    214-691-2969
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    Fax                  |    214-691-2959
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Provider Business Mailing Address
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    Address Line         |    5510 ABRAMS RD STE 102 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75214-2099
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    Country              |    US
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    Telephone            |    214-691-2969
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    Fax                  |    214-691-2959
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ALFRED J. PALETTI 
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    Credential           |    DDS
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    Telephone            |    214-691-2969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    13561
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    License Number State |    TX
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