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General NPI Number Information
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NPI Number | 1548114242
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Entity Type | Organization
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Legal Business Name | DUDUM DENTAL INC
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Dates
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Enumeration Date | 02/21/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 895 MORAGA RD STE 4
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City | LAFAYETTE
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State | CA
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Zip | 94549-5039
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Country | US
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Telephone | 925-283-2735
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WEST LOOP S STE 2000
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City | HOUSTON
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State | TX
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Zip | 77027-3211
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Country | US
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Telephone | 469-324-3242
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Fax |
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Authorized Official
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Title or Position | VP, PAYOR RELATIONS
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Name | MICHAELA MUNIZ
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Credential |
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Telephone | 469-324-3242
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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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