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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 |
| NPI # | 1164121422 |
| LBN Legal business name | 5429 EAST GRAND AVE DENTAL |
| Authorized official | MARIA ESTRADA - (BILLING/CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/27/2023 |
| Last updated | 02/27/2023 - About 3 years ago |
| Identifiers | n/a |
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5429 EAST GRAND AVE DENTAL
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5429 EAST GRAND AVE DENTAL