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General NPI Number Information
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NPI Number | 1386807360
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Entity Type | Organization
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Legal Business Name | DENTISTRY FOR LITTLE FOLKS
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 9910 W LOOP 1604 N STE 122
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5610
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Country | US
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Telephone | 210-679-4747
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Fax | 210-679-4748
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Provider Business Mailing Address
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Address Line | 9910 W LOOP 1604 N STE 122
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5610
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Country | US
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Telephone | 210-679-4747
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Fax | 210-679-4748
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. JENNIFER MARIE OCHOA
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Credential | DDS
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Telephone | 210-679-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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