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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dental Assistant |
126800000X | |||
Dental Hygienist |
124Q00000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X |
| NPI # | 1063015576 |
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| LBN Legal business name | STARLIGHT DENTAL SERVICES INC | ||||
| Authorized official | ALBERT TAE - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/17/2020 | ||||
| Last updated | 04/23/2023 - About 3 years ago | ||||
| Identifiers |
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STARLIGHT DENTAL SERVICES INC
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STARLIGHT DENTAL SERVICES INC