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General NPI Number Information
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NPI Number | 1316698129
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Entity Type | Organization
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Legal Business Name | DARLING DENTISTRY, PLLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 115 OLD BOERNE RD STE E
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City | BULVERDE
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State | TX
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Zip | 78163-3279
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Country | US
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Telephone | 210-385-1347
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Fax |
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Provider Business Mailing Address
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Address Line | 4715 SHAVANO CT
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5889
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Country | US
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Telephone | 210-385-1347
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KELSEY BETH PENA GARZA
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Credential | DDS
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Telephone | 210-385-1347
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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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