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General NPI Number Information
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NPI Number | 1114265618
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Entity Type | Organization
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Legal Business Name | SAVITA S BRENNER DDS PC
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 13105 NORTHWEST FWY #114
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City | HOUSTON
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State | TX
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Zip | 77040-6312
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Country | US
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Telephone | 713-682-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 13105 NORHWEST FREEWAY #114
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City | HOUSTON
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State | TX
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Zip | 77040
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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 | DENTIST
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Name | SAVITA BRENNER
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Credential | DDS
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Telephone | 414-467-4586
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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 | 25464
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License Number State | TX
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