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General NPI Number Information
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NPI Number | 1992664437
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Entity Type | Organization
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Legal Business Name | MOREL ESPINAL DENTISTRY, PA
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 315 SE MIZNER BLVD STE 216
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City | BOCA RATON
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State | FL
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Zip | 33432-6086
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Country | US
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Telephone | 561-338-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 5720 FOX HOLLOW DR APT C
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City | BOCA RATON
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State | FL
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Zip | 33486-8928
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Country | US
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Telephone | 917-703-8220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOMINIC MOREL-MAYNARD
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Credential | DMD
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Telephone | 917-703-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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