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General NPI Number Information
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NPI Number | 1164157194
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Entity Type | Organization
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Legal Business Name | GARLAND TOOTH FAIRY, PLLC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 12070 BROWNWOOD DR
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City | FRISCO
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State | TX
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Zip | 75035-8860
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Country | US
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Telephone | 646-262-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 13180 WESTPARK DR STE 106
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City | HOUSTON
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State | TX
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Zip | 77082-4936
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Country | US
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Telephone | 281-759-9191
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. YUEXI CHEN
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Credential | DDS
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Telephone | 646-262-6648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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