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General NPI Number Information
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NPI Number | 1124999743
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Entity Type | Organization
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Legal Business Name | KINGSLAND FAMILY DENTAL PRACTICE, LP
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 21510 KINGSLAND BLVD
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City | KATY
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State | TX
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Zip | 77450-6188
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Country | US
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Telephone | 281-492-1985
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Fax | 281-492-2005
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Provider Business Mailing Address
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Address Line | 21510 KINGSLAND BLVD
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City | KATY
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State | TX
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Zip | 77450-6188
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Country | US
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Telephone | 281-492-1985
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Fax | 281-492-2005
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Authorized Official
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Title or Position | DENTIST
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Name | HUGO ARTAZA
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Credential | DDS
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Telephone | 281-492-1985
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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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