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General NPI Number Information
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NPI Number | 1255107256
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Entity Type | Organization
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Legal Business Name | ADORABLE SMILES PEDIATRIC DENTISTRY OF CORINTH
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 3901 FM 2181 STE 140
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City | CORINTH
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State | TX
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Zip | 76210-4250
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Country | US
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Telephone | 940-277-8760
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 FM 2181 STE 140
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City | CORINTH
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State | TX
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Zip | 76210-4250
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Country | US
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Telephone | 940-277-8760
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Fax | 940-445-8109
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN HAI PHAN
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Credential | DDS
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Telephone | 682-234-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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