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General NPI Number Information
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NPI Number | 1093368342
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Entity Type | Organization
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Legal Business Name | DENTAL HUT PLLC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 5514 LONE STAR PKWY STE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6770
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Country | US
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Telephone | 617-412-0792
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Fax |
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Provider Business Mailing Address
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Address Line | 5514 LONE STAR PKWY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6769
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUMEET MALHOTRA
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Credential |
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Telephone | 106-883-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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