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General NPI Number Information
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NPI Number | 1588258727
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Entity Type | Organization
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Legal Business Name | TRINITY KATY DENTAL PLLC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 24020 CLAY RD.
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City | KATY
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State | TX
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Zip | 77493
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Country | US
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Telephone | 832-400-4129
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Fax |
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Provider Business Mailing Address
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Address Line | 507 N SAM HOUSTON PKWY E STE 555
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City | HOUSTON
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State | TX
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Zip | 77060-4021
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Country | US
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Telephone | 832-648-7632
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Fax | 832-532-1904
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. AMJAD AJAZ SHEIKH
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Credential | DDS
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Telephone | 832-648-7632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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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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