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General NPI Number Information
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NPI Number | 1265085310
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Entity Type | Organization
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Legal Business Name | WOODSPRINGS DENTISTRY
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 24527 GOSLING RD STE D-120
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City | SPRING
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State | TX
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Zip | 77389-3214
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Country | US
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Telephone | 832-930-7795
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Fax |
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Provider Business Mailing Address
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Address Line | 25138 PINEBROOK GROVE LN
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City | TOMBALL
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State | TX
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Zip | 77375-1518
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Country | US
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Telephone | 713-494-0603
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES TEJADA
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Credential |
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Telephone | 713-494-0603
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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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