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General NPI Number Information
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NPI Number | 1336969054
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Entity Type | Organization
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Legal Business Name | HOIFUI DENTISTRY PLLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 27104 TX HWY 249 BLDG B STE B 800
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 972-786-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 GREEN KENSINGTON DR
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City | HOUSTON
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State | TX
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Zip | 77008-1090
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Country | US
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Telephone | 972-786-6920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN JAE WOO LEE
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Credential | DDS
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Telephone | 972-786-6920
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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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