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General NPI Number Information
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NPI Number | 1023991627
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Entity Type | Organization
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Legal Business Name | THE FAMILY DENTAL CENTER LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 14954 MESA DR. STE 105
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City | HUMBLE
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State | TX
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Zip | 77396-5902
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Country | US
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Telephone | 281-458-9787
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Fax | 281-458-9788
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Provider Business Mailing Address
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Address Line | 14954 MESA DR STE 105
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City | HUMBLE
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State | TX
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Zip | 77396-5902
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Country | US
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Telephone | 281-458-9787
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Fax | 281-458-9788
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | WENDE M PINSON
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Credential |
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Telephone | 281-458-8797
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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 |
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License Number State |
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