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General NPI Number Information
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NPI Number | 1487470084
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Entity Type | Organization
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Legal Business Name | STONE OAK ENDODONTICS
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 335 E SONTERRA BLVD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4071
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Country | US
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Telephone | 210-494-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 335 E SONTERRA BLVD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4071
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Country | US
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Telephone | 210-494-8022
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Fax |
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Authorized Official
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Title or Position | OWNER/ENDODONTIST
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Name | DR. SUDHA S CHINTA
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Credential | BDS, DDS, MSD
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Telephone | 510-329-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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