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General NPI Number Information
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NPI Number | 1003036401
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Entity Type | Organization
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Legal Business Name | LAFLEUR DENTAL INC., P.C.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4021 E BELKNAP ST
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City | HALTOM CITY
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State | TX
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Zip | 76111-6600
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Country | US
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Telephone | 682-647-1117
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Fax | 682-647-1119
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Provider Business Mailing Address
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Address Line | 4021 E BELKNAP ST
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City | HALTOM CITY
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State | TX
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Zip | 76111-6600
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Country | US
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Telephone | 682-647-1117
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Fax | 682-647-1119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAN MAI HOANG
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Credential | D.D.S.
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Telephone | 682-647-1117
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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 | 20376
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License Number State | TX
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