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General NPI Number Information
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NPI Number | 1982095899
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Entity Type | Organization
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Legal Business Name | HEALTHY SMILES INC.
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 7310 ESQUIRE CT SUITE #4
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City | ELKRIDGE
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State | MD
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Zip | 21075-5440
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Country | US
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Telephone | 410-796-7371
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Fax | 410-796-7393
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Provider Business Mailing Address
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Address Line | 7310 ESQUIRE CT SUITE #4
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City | ELKRIDGE
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State | MD
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Zip | 21075-5440
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Country | US
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Telephone | 410-796-7371
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SARAH ZARIF SALMASSI
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Credential | DDS
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Telephone | 410-796-7371
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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 | 14100
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14171
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License Number State | MD
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