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General NPI Number Information
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NPI Number | 1255758371
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Entity Type | Organization
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Legal Business Name | SNYDER SMILES, PC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 5107 COLLEGE AVE. SUITE 2
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City | SNYDER
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State | TX
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Zip | 79549
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Country | US
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Telephone | 831-247-3041
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 DELAWARE DR
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City | MANSFIELD
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State | TX
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Zip | 76063-6370
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Country | US
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Telephone | 831-247-3041
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Fax |
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | DR. HARPREET K SIDHU
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Credential | DDS
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Telephone | 831-247-3041
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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 | 29643
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License Number State | TX
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