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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 | |||
Periodontics |
1223P0300X |
| NPI Number | 1174814495 |
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| LBN Legal business name | BLUE BACK DENTAL LLC | ||||||||||||
| Authorized official | KIRSTEN CAPOZZI - (PRACTICE MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/20/2011 | ||||||||||||
| Last updated | 04/20/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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BLUE BACK DENTAL LLC