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General NPI Number Information
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NPI Number | 1285801209
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Entity Type | Organization
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Legal Business Name | MARK A. URBACH, DDS, PA
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 4101 GREENBRIAR ST SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77098-5294
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Country | US
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Telephone | 713-522-6366
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Fax | 713-522-1537
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Provider Business Mailing Address
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Address Line | 4101 GREENBRIAR ST SUITE 120
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City | HOUSTON
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State | TX
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Zip | 77098-5294
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Country | US
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Telephone | 713-522-6366
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Fax | 713-522-1537
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. MARK A URBACH
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Credential | DDS
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Telephone | 713-522-6366
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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 | 10749
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License Number State | TX
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