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General NPI Number Information
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NPI Number | 1003030677
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Entity Type | Organization
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Legal Business Name | ALLBRITE DENTAL ASSOCIATES,L.P.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5372 W 34TH ST
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City | HOUSTON
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State | TX
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Zip | 77092-6626
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Country | US
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Telephone | 713-476-9400
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Fax | 713-476-9477
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Provider Business Mailing Address
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Address Line | 5372 WEST 34TH ST.
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City | HOUSTON
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State | TX
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Zip | 77092
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Country | US
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Telephone | 713-476-9400
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Fax | 713-476-9477
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Authorized Official
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Title or Position | DENTIST
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Name | KIMBERLY NGUY
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Credential | D.D.S.
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Telephone | 713-476-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19488
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License Number State | TX
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