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General NPI Number Information
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NPI Number | 1295652162
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Entity Type | Organization
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Legal Business Name | MC DENTAL OF TEXAS PA
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 8017 MESA DR STE 101
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City | AUSTIN
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State | TX
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Zip | 78731-1313
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Country | US
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Telephone | 512-345-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 8017 MESA DR STE 101
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City | AUSTIN
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State | TX
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Zip | 78731-1313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA MANN
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Credential | DDS
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Telephone | 512-345-0289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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