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General NPI Number Information
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NPI Number | 1386242923
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Entity Type | Organization
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Legal Business Name | EXQUISITE DENTAL SMILES PLLC
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 2200 ALDINE MAIL ROUTE RD # 106
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City | HOUSTON
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State | TX
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Zip | 77039
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Country | US
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Telephone | 134-169-6717
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Fax |
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Provider Business Mailing Address
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Address Line | 22722 MOORE POINT LN
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City | RICHMOND
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State | TX
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Zip | 77469-2452
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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 | OWNER / DIRECTOR
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Name | DR. MAHERIN MOMIN
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Credential | DDS
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Telephone | 713-416-9671
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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 |
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License Number State |
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