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General NPI Number Information
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NPI Number | 1518414184
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Entity Type | Organization
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Legal Business Name | DELTA OAKS DENTISTRY P.A.
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 206 S. BROADWAY ST.
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City | ELSA
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State | TX
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Zip | 78543-0000
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Country | US
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Telephone | 956-262-1083
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Fax | 956-262-4988
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | ELSA
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State | TX
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Zip | 78543-0096
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Country | US
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Telephone | 956-262-1083
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Fax | 956-262-4988
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SENAIDO H. GARZA
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Credential | D.D.S.
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Telephone | 956-262-1083
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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 | 27268
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License Number State | TX
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