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General NPI Number Information
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NPI Number | 1306206909
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Entity Type | Organization
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Legal Business Name | ARTE DENTAL LEWISVILLE, PLLC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 1640 S BUSINESS 121 SUITE 130
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City | LEWISVILLE
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State | TX
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Zip | 75067
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Country | US
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Telephone | 972-382-2783
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 S BUSINESS 121 SUITE 130
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City | LEWISVILLE
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State | TX
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Zip | 75067
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Country | US
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Telephone | 972-382-2783
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | WILLIAM NGUYEN
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Credential | DMD
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Telephone | 972-382-2783
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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 | 24428
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License Number State | TX
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