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General NPI Number Information
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NPI Number | 1114664075
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Entity Type | Organization
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Legal Business Name | DALLAS DENTAL IMPLANT AND ORTHODONTIC CENTER PLLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 1220 AIRPORT FWY STE F
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City | BEDFORD
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State | TX
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Zip | 76022-6776
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Country | US
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Telephone | 817-508-0084
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Fax | 682-503-4577
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Provider Business Mailing Address
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Address Line | 1220 AIRPORT FWY STE F
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City | BEDFORD
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State | TX
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Zip | 76022-6776
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Country | US
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Telephone | 817-508-0084
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Fax | 682-503-4577
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DAVID MARCUS CHEI
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Credential | DMD
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Telephone | 214-326-9077
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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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