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General NPI Number Information
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NPI Number | 1124749734
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Entity Type | Organization
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Legal Business Name | SKW DENTAL GROUP, PLLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 8323 SOUTHWEST FWY STE 610
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City | HOUSTON
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State | TX
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Zip | 77074-1609
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Country | US
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Telephone | 281-624-6269
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Fax | 281-504-7090
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Provider Business Mailing Address
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Address Line | 11601 SHADOW CREEK PKWY STE 111-303
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City | PEARLAND
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State | TX
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Zip | 77584-7283
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Country | US
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Telephone | 281-624-6269
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Fax | 281-504-7090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARHONDA KAZAN WASHINGTON
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Credential | DDS
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Telephone | 832-746-0163
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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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