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General NPI Number Information
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NPI Number | 1598504607
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Entity Type | Organization
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Legal Business Name | OAKCLIFF TOOTH FAIRY PLLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 2425 S COCKRELL HILL RD
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City | DALLAS
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State | TX
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Zip | 75211-8103
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Country | US
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Telephone | 646-262-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 12070 BROWNWOOD DR
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City | FRISCO
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State | TX
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Zip | 75035-8860
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Country | US
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Telephone | 646-262-6648
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. YUEXI CHEN
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Credential | DDS
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Telephone | 646-262-6648
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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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