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General NPI Number Information
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NPI Number | 1447302039
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Entity Type | Organization
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Legal Business Name | KENNETH M. LUBRITZ DDS INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 FONDREN RD SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77063-2319
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Country | US
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Telephone | 713-789-7676
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Fax | 713-789-7051
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Provider Business Mailing Address
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Address Line | 2500 FONDREN RD SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77063-2319
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Country | US
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Telephone | 713-789-7676
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Fax | 713-789-7051
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Authorized Official
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Title or Position | PERIODONTIST
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Name | DR. KENNETH MICHAEL LUBRITZ
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Credential | D.D.S.
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Telephone | 713-789-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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