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General NPI Number Information
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NPI Number | 1508679432
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Entity Type | Organization
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Legal Business Name | SMILE AVENUE FAMILY DENTISTRY CINCO RANCH
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 23541 WESTHEIMER PKWY STE 170
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City | KATY
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State | TX
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Zip | 77494-3598
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Country | US
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Telephone | 281-394-3988
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Fax | 281-394-3980
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Provider Business Mailing Address
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Address Line | 23541 WESTHEIMER PKWY STE 170
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City | KATY
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State | TX
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Zip | 77494-3598
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Country | US
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Telephone | 281-394-3988
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Fax | 281-394-3980
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK VUONG
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Credential | DMD
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Telephone | 281-394-3988
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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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