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General NPI Number Information
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NPI Number | 1427222017
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Entity Type | Organization
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Legal Business Name | DENTISTRY FOR CHILDREN PLLC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 1533 MERRIMAC CIR STE 209
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City | FORT WORTH
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State | TX
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Zip | 76107-6526
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Country | US
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Telephone | 817-332-0007
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Fax | 817-332-0008
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Provider Business Mailing Address
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Address Line | 1533 MERRIMAC CIR STE 209
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City | FORT WORTH
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State | TX
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Zip | 76107-6526
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Country | US
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Telephone | 817-332-0007
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Fax | 817-332-0008
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ISABEL DE ROSAS BRITAIN
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Credential | D.D.S.
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Telephone | 817-332-0007
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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 | 19221
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License Number State | TX
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