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General NPI Number Information
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NPI Number | 1023801677
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Entity Type | Organization
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Legal Business Name | GULF PERIODONTICS & IMPLANTS
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2000 25TH AVE N STE 101
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City | TEXAS CITY
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State | TX
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Zip | 77590-5280
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Country | US
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Telephone | 281-286-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 5858 WESTHEIMER RD STE 820
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City | HOUSTON
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State | TX
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Zip | 77057-5648
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Country | US
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Telephone | 832-620-5245
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | WESAM SALHA
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Credential | DDS, MSD
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Telephone | 713-784-6065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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