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General NPI Number Information
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NPI Number | 1508932716
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Entity Type | Organization
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Legal Business Name | CALTEX DENTAL
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 2466 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77077-5251
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Country | US
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Telephone | 281-556-8400
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Fax | 281-556-8430
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Provider Business Mailing Address
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Address Line | 2466 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77077-5251
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Country | US
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Telephone | 281-556-8400
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Fax | 281-556-8430
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Authorized Official
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Title or Position | CEO
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Name | PHUONG VO
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Credential | DDS
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Telephone | 281-556-8400
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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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