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General NPI Number Information
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NPI Number | 1194422386
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Entity Type | Organization
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Legal Business Name | MFD DENTAL, PA
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 15303 HUEBNER RD STE 17
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City | SAN ANTONIO
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State | TX
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Zip | 78248-0982
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Country | US
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Telephone | 210-828-1392
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Fax | 210-829-1828
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Provider Business Mailing Address
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Address Line | 303 E HILDEBRAND AVE STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78212-2476
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Country | US
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Telephone | 210-828-1392
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Fax | 210-829-1828
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Authorized Official
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Title or Position | SECRETARY / TREASURER
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Name | DR. BARBARA ARLENE MACNEILL
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Credential | DMD
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Telephone | 210-828-1392
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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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