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General NPI Number Information
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NPI Number | 1184013468
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Entity Type | Organization
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Legal Business Name | DENTALMED IMAGING, LLC
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 8647 WURZBACH RD BLDG B
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1245
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Country | US
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Telephone | 210-691-1211
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Fax | 210-697-0829
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Provider Business Mailing Address
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Address Line | 8647 WURZBACH RD BLDG B
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1245
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Country | US
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Telephone | 210-691-1211
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Fax | 210-697-0829
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. IOAN P. BEC
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Credential | DMD
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Telephone | 210-716-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number |
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License Number State |
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