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General NPI Number Information
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NPI Number | 1245819671
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Entity Type | Organization
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Legal Business Name | PARK DENTISTRY FOR KIDS SIENNA, PLLC
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Dates
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Enumeration Date | 04/04/2021
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Last Update Date | 04/04/2021
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Provider Practice Location Address
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Address Line | 4417 SIENNA PKWY STE 200
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City | MISSOURI CITY
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State | TX
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Zip | 77459-5900
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Country | US
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Telephone | 713-993-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 KIPLING ST APT 1712
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City | HOUSTON
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State | TX
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Zip | 77098-1558
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Country | US
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Telephone | 713-993-7332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTI DANIELLE PARKER
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Credential | DDS
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Telephone | 713-993-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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