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General NPI Number Information
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NPI Number | 1023368958
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Entity Type | Organization
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Legal Business Name | MEMORIAL DENTISTS, PC
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 14565 MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77079-5430
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Country | US
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Telephone | 281-558-8888
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Fax | 281-558-8368
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Provider Business Mailing Address
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Address Line | 14565 MEMORIAL DR. SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77079-3023
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Country | US
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Telephone | 281-558-8888
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Fax | 281-558-8368
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARYAM SHARIFF
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Credential |
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Telephone | 281-558-8888
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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 | 28371
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28232
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License Number State | TX
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