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General NPI Number Information
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NPI Number | 1407287204
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Entity Type | Organization
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Legal Business Name | DENTAL ACCESS PLLC
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 1119 W RANDOL MILL RD STE 101
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City | ARLINGTON
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State | TX
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Zip | 76012-6509
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Country | US
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Telephone | 682-240-3490
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 W RANDOL MILL RD STE 101
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City | ARLINGTON
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State | TX
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Zip | 76012-6509
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Country | US
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Telephone | 682-240-3490
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DINH DON NGUYEN
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Credential | DDS
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Telephone | 682-240-3490
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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 | 25059
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License Number State | TX
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