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General NPI Number Information
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NPI Number | 1447530860
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Entity Type | Organization
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Legal Business Name | COMFORT DENTAL STONE OAK, PLLC
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 203 N LOOP 1604 W SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1027
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Country | US
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Telephone | 210-490-8300
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Fax | 210-490-8301
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Provider Business Mailing Address
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Address Line | 203 N LOOP 1604 W SUITE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1027
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Country | US
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Telephone | 210-490-8300
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Fax | 210-490-8301
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Authorized Official
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Title or Position | FRONT OFFICE
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Name | KANDICE SCTIERN
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Credential |
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Telephone | 210-490-8300
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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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