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General NPI Number Information
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NPI Number | 1225878184
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Entity Type | Organization
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Legal Business Name | SUNG FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 3233 MERIDIANA PARKWAY SUITE 700
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City | ROSHARON
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State | TX
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Zip | 77583
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Country | US
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Telephone | 954-829-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 EL PASEO ST APT 32308
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City | HOUSTON
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State | TX
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Zip | 77054-3051
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Country | US
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Telephone | 954-829-3233
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RICHARD SUNG
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Credential | DMD
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Telephone | 954-829-3233
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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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