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General NPI Number Information
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NPI Number | 1386187904
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Entity Type | Organization
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Legal Business Name | CSTN DENTAL PLLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 12586 WESTHEIMER RD STE C
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City | HOUSTON
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State | TX
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Zip | 77077-5866
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Country | US
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Telephone | 832-466-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 12586 WESTHEIMER RD, SUITE C
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 832-288-4365
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Fax |
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | SUZANNE LE
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Credential |
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Telephone | 832-878-3353
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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 | 30299
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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