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General NPI Number Information
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NPI Number | 1194692095
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Entity Type | Organization
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Legal Business Name | ALS DENTAL PLLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 11115 W GRAND PKWY S STE 140
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City | RICHMOND
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State | TX
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Zip | 77407-8730
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Country | US
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Telephone | 832-930-7842
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 WEST LOOP S STE 1330
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City | HOUSTON
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State | TX
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Zip | 77027-3513
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KATIA RODRIGUEZ
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Credential |
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Telephone | 832-930-7842
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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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