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General NPI Number Information
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NPI Number | 1336945203
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Entity Type | Organization
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Legal Business Name | SLS PERIODONTICS PLLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 10110 WOODLANDS PKWY STE 1000
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City | SPRING
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State | TX
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Zip | 77382-2927
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Country | US
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Telephone | 713-576-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 10110 WOODLANDS PKWY STE 1000
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2927
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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 | MANAGING MEMBER
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Name | LUANNA MARIOLA ZAMBRANA AVILES
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Credential | DMD
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Telephone | 948-888-9771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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