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General NPI Number Information
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NPI Number | 1568056703
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Entity Type | Organization
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Legal Business Name | OMNI DENTAL III PLLC
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Dates
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Enumeration Date | 02/28/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 6401 NEW YORK AVE UNIT 155
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City | ARLINGTON
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State | TX
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Zip | 76018-3175
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Country | US
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Telephone | 817-642-7860
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Fax | 817-612-9626
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Provider Business Mailing Address
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Address Line | 6401 NEW YORK AVE UNIT 155
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City | ARLINGTON
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State | TX
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Zip | 76018-3175
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Country | US
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Telephone | 817-642-7860
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Fax | 817-612-9626
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MARCUS CHEI
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Credential | DMD
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Telephone | 214-326-9077
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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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