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General NPI Number Information
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NPI Number | 1992656524
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Entity Type | Organization
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Legal Business Name | THE DENTAL LOFT LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 4800 NE 20TH TER STE 215
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4510
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Country | US
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Telephone | 954-399-1985
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Fax | 954-999-0962
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Provider Business Mailing Address
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Address Line | 4800 NE 20TH TER STE 215
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4510
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Country | US
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Telephone | 954-399-1985
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Fax | 954-999-0962
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. CESAR JULIAN HERNANDEZ
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Credential | DDS
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Telephone | 954-399-1985
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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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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